Ad Hoc Sessions: 4.00 Wake up Club, 5.00 Single Afternoon, 10.00 Double Afternoon

We are now taking bookings for 06/0917 – 21/12/17 (INSET days accounted for). Completed booking forms can be returned to the happy hut, school office or to Active8 Minds by post. All completed and signed forms must be received before 17th July 2017.

Please ensure your child has a change of clothing suitable to the activity, a refillable water bottle and a snack (no nuts please).

Please complete the form overleaf and return to the school office or Active8 Minds no later than the 17th July 2017

Please clearly highlight which sessions your child will be attending.

Ad hoc sessions: £4.00 Wake up club, £5.00 single afternoon, £10.00 double afternoon.

Petersfield Infant School

Child Name______DOB______

Home Address______

Postcode______Email______

Telephone ______/______

Parent/Guardian to pick up ______

Emergencycontact ______

Medical condition ______

Signed ______

Total amount payable: £______

PLEASE ENSURE ALL DETAILS ARE COMPLETED OR THE FORM WILL NOT BE PROCESSED. INITIAL PAYMENT MUST BE MADE BEFORE THE 25th August 2017 OR YOUR CHILD WILL LOSE THEIR PLACE, WILL BE TURNED AWAY FROM THE CLUB AND A FINANCIAL PENALTY WILL BE INCURRED.

*Costs are for the full term and by signing this form you are agreeing to our

T’s & C’s (see website for details – bookings)

PAYMENT DETAILS:

• Full payment due before 25th August 2017
• 50/50 payment – First 50% payment due before 25th August 2017
• Final 50% payment due before 16/10/2017
• Please make all cheques payable to Active8 Minds after school club

• Online bank transfer: 09-01-28 80841367 – Ref: “PIS” + child surname

• WorldPay telephone payments (credit/debit card), Tel: 01243 696580

• Childcare vouchers (see website for list of providers)

OFSTED NUMBER: EY494299

ACTIVE8 MINDS, 11E THE WREN CENTRE, WESTBOURNE ROAD,

PO10 7SU, EMSWORTH – 01243 696580

Minds