Orleans Primary School

FULLY BOOKED - You can book the alternative Wednesday external session instead.

Parent Name

Contact Number

Emergency contact

Emergency Contact Number

I agree to the terms & conditionsView Health & safety policy

I consent for my child's photograph to be taken during sessions for use of Little Hands social media & publications

Child's First Name

Child's Surname

Child's Age

Year Group

Class

Allergies/Special Needs/Collection arrangement

EXTERNAL (St Stephens Church TW1 2PD)

Children will be picked up from the school & walked to the church. Parents will collect from the church.

3:30-4:45pm 24th April - 17th July

11 weeks term- £137.50 (No club 1st May & 30th May)

Parent Name

Contact Number

Emergency contact

Emergency Contact Number

I agree to the terms & conditionsTerms & Conditions

I consent for my child's photograph to be taken during sessions for use of Little Hands social media & publications

I consent for my child to be collected by Little Hands staff from school & walked to location of the clubTerms & Conditions

Child's First Name

Child's Surname

Child's Age

Year Group

Class

Allergies/Special Needs/Collection arrangement

FULLY BOOKED - Please enquire to be placed on the waiting list

Parent Name

Contact Number

Emergency contact

Emergency Contact Number

I agree to the terms & conditionsView Health & safety policy

I consent for my child's photograph to be taken during sessions for use of Little Hands social media & publications

Child's First Name

Child's Surname

Child's Age

Year Group

Class

Allergies/Special Needs/Collection arrangement