Holiday Club Form

Online Booking Form

Autumn Half Term Holiday Club 2026
Child's Name

First NameMiddle NameLast Name
DOB

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Does your child have any additional needs?
Please give as much detail as possible
Current school/Pre-school

3.30 pm - 4.00 pm
Parent's Name

First NameLast Name
E-mail
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityCounty

Postal code
Parent's Name

First NameLast Name
Address (if different)

Street Address

Street Address Line 2

CityCounty

Postal code
Email
example@example.com
Phone Number

Area CodePhone Number
Allergies/Intolerances
Medical/Medications
GP Surgery

Surgery NameGP Name
GP Address

Street Address

Street Address Line 2

CityCounty

Postal Code
Additional Information
I understand that a non-refundable deposit of £25 is payable. You will receive an invoice via email. No refunds are given for illness or missed sessions.

Bank transfer

09-06-66 42210524 Caterpillars Montessori Ltd

Free Quantity

Deposit paid via tax-free childcare vouchers

Free

Total

Online Booking Form