Clone of After School Club Registration Form

Registration Form

Fill out the form carefully for registration
Your Name*

First NameLast Name
Childs Name*

First NameLast Name
2nd Childs Name

First NameLast Name
3rd Childs Name

First NameLast Name
Parent / Guardian E-mail
example@example.com
Parent Mobile Number
Backup Emergency Name
Backup Emergency Number
Any medical issues / Allergies we need to know*
Please type None or N/A if their is nothing
Three Payment Options:

Cash, Card or Bank Transfer : Please Still submit the form.

KRS Education Ltd

Sort Code: 04-06-05

Account: 16643117

(please put childs name as Reference)
Chosen Payment Method*

Bank TransferCashCard
Choose a Day or Days*
Please Note: If paying by CASH or BACS - Cost is £7.50 for a single day or £10 for both days.

If paying by BACS use the childs name as reference.

Monday 22nd December10am - 3pm - 4- 11 Year Olds

£7.50 Quantity
Item subtotal:£0.00

Tuesday 23rd December10am - 3pm - 4- 11 Year Olds

£7.50 Quantity
Item subtotal:£0.00

Both Mon & Tues10am - 3pm - 4- 11 Year Olds

£10.00 Quantity
Item subtotal:£0.00

Total

£0.00