Children First and Surname name(s)

eg 07956607645 Emergency phone number will receive txt info about the course please share info.

Please put N in the box if you are new to us.

Age in Years on first day of course Note we can only take 5 year old (or Rising 5’s in Reception)

Gender Male or Female

Registers will contain year groups together.

What School do they attend?
Kalidascope
If your child attends Kalidascope at Aylward please let us know. Thanks

Medication/inhalers must be named and handed in on registration with an action plan of how/when to administer. Please fill in the medical form, print and bring in. WE DO NOT have access to Aylward School Welfare Medication.

If your child has SEND, please can you email any relevant supporting documents (e.g. EHCP) to Amy via email: aylwardwcs@gmail.com

We are unable to provide 1:1 support. Amy will review the information and confirm whether our provision is suitable.

Unfortunately, we cannot offer places to children who are known to display physical violence towards themselves or others, or who are known to abscond or climb fences, as we must ensure the safety of all children attending.

Please put siblings on same form, do not fill in the second form as it does not send.

Early (£6) 8.30 – 10am Late class (£6) 4-5.30pm Please put E or L ON FORM Any other requirements details in Your Message to Us

Enter number 1 if attending and leave blank if not.

Enter number 1 if attending and leave blank if not.

Enter number 1 if attending and leave blank if not.

Enter number 1 if attending and leave blank if not .

Enter number 1 if attending and leave blank if not.

Include details of Individual days and Eary, Late . And if you wish us to check that your child is eating their food.. Please Put ‘Check Food’ Thanks

£40 per day 5 day courses £175

Early club 8.30am -10am (£6 extra per club) & Late club 4pm-5.30pm (£6 extra per club)

Please total £’s & complete within 3 days by Bank Transfer (or CCV’s)

Bank transfer details Name: Worldcupsports Ltd Sort code: 04-03-33 Account number: 52012006

Payment Method
Please put codes/CCV provider name in box provided

Child Care Vouchers Registration Number: 2635986 Name of Provider AYMaryRyan – Skill & Sports Development

Please put relevant reference here to allow us to match it up to your child’s full name.

Full Address please including post code if this is your first camp. Regulars leave blank unless your address has changed.
Photos
Please give permission for us to take photos of the children for our web pages. We will use various pictures from time to time on our website of those who give permission. Or tick No.
Medical, SEND & Behavioural Information
By submitting this booking form, I confirm that I have disclosed all relevant medical, SEND, additional needs and behavioural information relating to my child/children.

I understand that this information must be provided before attendance so WCS can ensure the provision is suitable and safe.

Failure to disclose relevant information may result in the booking being cancelled and my child being collected, with no refund issued for the affected booking.