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Contact
Breakfast Club
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Booking & Consent Form
First name
*
Last name
*
Email
*
Phone
*
Address
*
Full Name of Child:
*
Relationship to Child:
*
Emergency Contact Name & Number (if different):
School Attended:
Year Group:
*
Class & Class Teacher:
*
Any dietary restrictions or preferences?
*
Does your child have any medical conditions or allergies?
*
Does your child require medication while at the club? If yes, please provide details.
Do you give permission for your child to be photographed for club use (e.g., newsletters, social media)?
*
Yes
No
Do you give permission for basic first aid to be administered if needed?
*
Yes
No
Does your child have any special educational needs?
Yes
No
Does this child have an EHCP or a SEN Support Plan?
Have you read and agreed to the club’s booking, cancellation, and refund policies?
Submit
Home
About
Explore Our Programs
Meet the Team
Contact
Breakfast Club
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