Please put all siblings on the ONE SAME FORM. this will save you time and duplication. Then put age etc data in same order as first names. . £160 for 5 day full week or £40 Individual days
Children First name(s)
Surname Family
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 so that we can arrange a special welcome.
Age in Years on first day of course
M = Male F = Female
R= Reception — Registers will contain year groups together. NOT NEXT TERM
What School do they attend?
Medical Details if any please .
. Early (£5) 8.30 – 10am & Extra Time (£5) 4.00-5.30pm Please put E or L or Both E/L Any other requirements details in Your Message to Us Half day(4 YO) (£25) 9.30am-1.15pm put ‘H’ in box eg Tuesday 22 H
Enter number 1 if attending and and leave blank if not . .
Enter number 1 if attending and 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 and leave blank if not . .
Enter number 1 if attending and 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
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
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
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 NO LATE CLASS 4pm PICK UP ONLY
Include details of Individual days, Eary, Late & ( 1/2 days for 4 year olds in Reception )
£160 for full 5 day ( M-F)week or £40 per individual day Please total £’s & complete payment by Bank Transfer (or CCV’s ) to worldcupsports.co.uk Barclays Sort 20-37-16 Acc. 00054879
How are you paying.
Childcare Scheme Providers Name or Bank Transfer reference. PLUS Childs name & Venue OF- AY- MH. (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.
Full Address please including post code
Please put Y yes or N No for permission to take photographs for or web page.
Y = yes or No Non Swimmers NSY for ‘lesson’