Please put siblings on the SAME FORM. to save time and duplication. Put age etc data in order as first names. . £190 for 5 day full week or £45 Individual days
Children 1st & 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 its your 1ST DAY with us so that we can arrange a special welcome.
Age in Years on first day of course
M = Male F = Female
What year are they NOW ( not September) R= Reception or 1,2,3,4 ect — Registers will put year groups together.
What School do they attend?
Medical Details if any please . Note Cake Decorating option is with dairy products. Put ‘No Cakes’ if you wish them to avoid this.
. Early (£6) 8.30 – 10am & Extra Time (£6) 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) (£30) 9.30am-1.15pm put ‘H’ in box eg Tuesday 22 H
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Enter number 1 if attending and and leave blank if not ( Not 0 )
Include details of Individual days, Eary, Late & ( 1/2 days for 4 year olds in Reception )
NOTE New Bank Details . Worldcupsports Ltd 04-03-33 ACC.NO 52012006 £190 for full 5 day ( M-F) week or £45 per individual day ( 4 days £180)
I am Paying by
How are you paying. Please state CCV company
Childcare Scheme Providers Name or Bank Transfer reference. PLUS Childs name & Venue OF (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 our web page.