Schools Out Club - Registration Form

Please fill in all sections. It's important that we have as much information as possible. Fields marked * are mandatory.

You must also read a copy of our contract in order for us to enrol your child. You can download a copy here:

Full name of child:
*

Date of Birth:
*

Gender: Male: Female:

Address:
*

Postcode:
*

Home Telephone Number:
*

School:
*
Year:
*
Class:
*

Email Address: (so we can send newsletters about holidays and any special activities)
*
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Mum's Details/Guardian's Details

Name:
*
Work Number:

Mobile Number:

Alternative Number:

Dad's Details

Name:

Work Number:

Mobile Number:

Alternative Number:

Emergency Third Contact

Name:
*
Relationship to Child:
*
Telephone Number:
*
Mobile Number:

Alternative Number: