After School Club Booking Form

( As these sessions get booked up quickly, it is advisable to phone to check availability.)

To book after school club sessions, print out form, fill in details and send to
Kids Can Achieve at 29 Pinner Green, Pinner, Middx HA5 2AF, including payment.



CHILD'S NAME...............................................................DOB..........................................

ADDRESS..................................................................................................................................

..............................................................................................................................................

EMERGENCY PHONE.....................................................................................................

Please circle sessions requested:

Mon
Tue
Wed
Thu
Fri
Sept
8
9
10
11
12
15
16
17
18
19
22
23
24
25
26
29
30
Oct
-
-
1
2
3
6
7
8
9
10
13
14
15
16
17
20
21
22
23
24
Nov
3
4
5
6
7
10
11
12
13
14
17
18
19
20
21
24
25
26
27
28
Dec
1
2
3
4
5
8
9
10
11
12
15
16
17
18
19

Any other information we need to know:

 

We will be giving the children a light snack e.g. toast/sandwich/crackers. If your child has food allergies or intolerance, please advise.

FOOD ALLERGIES.....................................................................................................

All sessions have to be paid for at the time of booking.

Please make cheques payable to Kids Can Achieve and contact us within a week of sending your cheque to make sure we have received it.