Derby Holiday Club Sessions Booking Form - 2012

If you have a child registered with us and would like to advise us of sessions required at the Holiday club throughout the year, please use this form. If your child isn't registered with us yet, please use our registration form.

Full Name of Child / Children: *

Your Email Address: *

Name of Parent/Guardian: *

Your Contact Telephone number: *

Please click on the relevant holiday period below and fill in the required sessions:

February Half Term >

April Easter Break >

May/June Half Term>

PLEASE NOTE MAY HALF TERM HOLIDAY CLUB IS BASED AT ST JOHNS METHODIST CHURCH IN ALLESTREE

Summer Holidays >

October Half Term >

Any further comments or feedback?

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