Please put siblings on the SAME FORM. to save time and duplication. Put age etc data in order as first names. . £127.50 FOR 3 DAYS or £42.50 Individual days

eg 07956607645 Emergency phone number

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 next term) 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) Please put number of Early Mornings attending or leave blank if not.

Early (£6) 8.30 – 10am Please put number of Late classes attending or leave blank if not. NO LATE WEDNESDAY

Enter number 1 if attending or leave blank if not

Enter number 1 if attending or leave blank if not

4 pm finish Wednesday. -No Late Club

Half day (4 YO) (£30) 9.30am-1.00pm put ‘H’ in box if attending Half days.

Bank Transfer To Worldcupsports Ltd SC 04-03-33 ACC. 52012006 £127.50 for full 3 day ( M-W) week or £42.50 per individual day thanks

HMRC/ BH or Bank Transfer reference. Childs name & Venue OF (CCV closed as 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.