Enrolment Form

    Section 1: Child Enrolment Form

    Please fill in all fields, if not applicable please state N/A

    Starting Month:
    Starting Year:
    Child’s Name:
    School Attending:
    Class:
    Home Address:
    Postcode:
    Home telephone:
    Email:
    (will be used for correspondence, updates, newsletters)
    Parent/Carer 1:
    Relationship to child:
    Work/University/College Address:
    Work telephone:
    Mobile:
    Parent/Carer 2:
    Relationship to child:
    Work/University/College Address:
    Work telephone:
    Mobile:
    Days Requested

    Breakfast Club
    (8am start)
    Monday Tuesday Wednesday Thursday Friday
    After School
    (3pm - 5.55pm)
    Monday Tuesday Wednesday Thursday Friday
    Does your child requires additional support? (if yes we will complete a care plan)
    I give consent to receive text messages and corresponding emails