Gender Male or Female
Include details of Individual days, Eary, Late & ( 1/2 days for 4 yo)
Name of Childcare Voucher Scheme Provider. Child Care Vouchers (Payment due 10 days prior to start) Please put relevant reference here to allow us to match it up to your child's full name .Orley Farm Setting Reference Number: 2635987 Registration Number 2635986 for Skill & Sports Development.
Please give permission for us to take photos of your child for our web pages. We will use various pictures from time to time on our website of those who give permission. Or tick No.
Y=Yes - N=No - N/S= Non Swimmer Please tick appropriate boxes so that we can group accordingly. Non Swimmers will be allowed in the pool shallow end.