Application form for Afterschool Club

    Child 1

    Child’s name

    Childs date of birth

    Current year group or class name

    School Name

    What Days Do You Need?

    Or

    Child 2

    Child’s name

    Childs date of birth

    Current year group or class name

    School Name

    What Days Do You Need?

    Or

    Child 3

    Child’s name

    Childs date of birth

    Current year group or class name

    School Name

    What Days Do You Need?

    Or

    Child 4

    Child’s name

    Childs date of birth

    Current year group or class name

    School Name

    What Days Do You Need?

    Or

    All fields are required.

    Parent/carers name

    House Number & Street

    Area

    Town

    Post code

    Your Email

    Your Phone Number

    Your Mobile Number

    Families on universal Credit can claim financial support, just ask your work coach Most other families can claim Tax Free Childcare Apply for Tax Free Childcare - GOV.UK (www.gov.uk)

    If it doesn't say 'Your message has been submit sucessfully' please go back to check if you've ticked all the boxes and filled in every text box.