Langley Kids Club

Booking Form

Parent’s/guardian’s name: / ______
Telephone number: / ______
Email address: / ______
Child’s name: / ______/ Date of Birth: ______

To register a place for your child(ren) please fill in the required information and return to or

Langley Primary School, St Bernards Rd, Solihull, B92 7DJ

along with £30 non-refundable deposit via Parentpay (refundable if the club does not operate or a place is not available for your child to attend)

Your deposit will be subtracted from the overall cost of your child’s place.

Each child needs a separate Booking Form and a deposit paid for.

Once the Booking Form and deposit has been received, you will receive conformation of your child(ren)’s place along with the Admissions Form with the overall cost and the Parental Agreement

Please read the following session information carefully:

Early / 8am-9am / £2.50 / Inc. breakfast
Half day (am) / 9am-1pm / £19 / Inc. fruit
Day / 9am-5pm / £25 / Inc. fruit
Half day (pm) / 1pm-5pm / £19 / Inc. fruit
Late / 5pm-6pm / £2.50 / Inc. snack
*10% sibling daily discount or 5% weekly discount
Please give the name of the sibling the discount applies to ______

NB Langley Kids Club (LKC) can only receive payments via Parentpay or child care vouchers

Children will need to bring a packed lunch and refillable water bottle. Please note our school promotes healthy eating and active living; please avoid sending chocolate, sweets and fizzy drinks. To be considerate of allergies, please comply with the request of avoiding nut based products inc. chocolate spread

Please tick (√) the appropriate boxes to indicate the session you would like your child to attend during the October Half Term 2017:

Week commencing Monday 23rdoctober:

Monday / Tuesday / Wednesday / Thursday / Friday
Early
Half day (am)
Day
Half day (pm)
Late

Signed______Date______

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