Please select which day(s) you are booking in for,  if not the same for each child please note in message box below

Child's Full Name

Girl/Boy

Date of Birth (dd/mm/yy)

Name (Child 2)

Boy/Girl

Date of Birth (dd/mm/yy)

Monday

Tuesday

Wednesday

Thursday

Friday

Please validate by typing in word above

When complete please click ‘submit’

Parent/Guardian

Address including post

code

E-mail

Telephone

Mobile Phone

Message

The data entered on this form will be used solely for the purposes of holiday club administration and advice of future holiday clubs. Data is stored on a computer but is never shared with any other organisation.