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Request for Breakfast and After School Club

REQUEST FOR EXTENDED SCHOOL CLUB USAGE

 

CHILD’S NAME ……………………………………………………………….

CLASS ……………………….

Session Required (tick)

 

Breakfast Club £3.50 Short Session £2.50 Long Session With Tea £7.00
7.50am-8.55am 3.15pm-4.30pm 3.15-5.30pm

Week Commencing Date …………………………………

Days Required (tick)

Monday Tuesday Wednesday Thursday Friday

Permanent arrangement  or Weekly arrangement (circle as appropriate)

 

Signed (parent/carer) ………………………………. Date…………….

  • An additional 50p charge is added for all sessions booked after 10am on the day.
  • Cancellations before 10.00am or on the day for Breakfast Club will not be charged.
  • Cancellations after 10.00am or 7.30am for Breakfast Club will be charged at half price.
  • Late pick up will be charged at an additional £3.00 excluding Breakfast Club.

 

 

Office received payment ………………..  Signed…………………………………….…

 
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