SJ's After School Club Registration


This form allows you to register a child for SJ's After School Club - One form per child

SJ's After School Club - Booking form
Child - Name *
Child - Name
DD/MM/YYYY
Child - School Year (2017-2018) *
CHILD - Doctor's Name *
CHILD - Doctor's Name
First Line of Address Area Postcode
Parent's Details
Parents Name 1 (i.e mum/guardian) *
Parents Name 1 (i.e mum/guardian)
Parents Name 2 (i.e dad/guardian)
Parents Name 2 (i.e dad/guardian)
First Line of Address Area Postcode
First Line of Address Area Postcode
Emergency Contact
Please can you give us a name of someone to contact other than yourself in case of an emergency
Please can you give us a name of someone to contact other than yourself in case of an emergency
Day's Attending (please tick all which apply *
Would you like to try a TRIAL SESSION on your child's first time?
Declaration (please tick each one) *
Your Name *
Your Name
DD/MM/YYYY