SPRING 2020 Unicorn Primary School Registration Form

Unicorn Primary School Registration Form

Fill out the form carefully for registration
UNLESS OTHERWISE INFORMED, Classes on a Wednesday from 3.30-4.30
Classes are from Wednesday 22nd January – Wednesday 1 April 2020 inclusive (10 weeks). Half Term is 17th – 21st February 2020
Have you taken note of the term dates above? *

Yes
Child's Details *

First Name Last Name
School Attended *
School Year *
Gender
Are there any medical conditions we should know about (including allergies)?
Anything else we should know about your child?
Please state the name of who will be collecting your child *
Sibling Details (2nd child) where more than one child is being booked
Second Child

First Name Last Name
School Attended
School Year
Gender
Are there any medical conditions we should know about (including allergies)?
Anything else we should know about your child? (Only complete where necessary)
Parent/Guardian Contact Details
Parent/Guardian Details *

First Name Last Name

Home Address *

Telephone Number *
Email address *
example@example.com
Alternative emergency contact details

First Name Last Name
Telephone Number *
Photograph Permission
At Writing Champions, we take the issue of child protection very seriously and we would never knowingly publish an image of your child without your consent.

As the parent or carer of the child named above, I grant permission for images of my child to be used for promotional and marketing purposes, including on our website, marketing materials or social media.
Please tick to grant permission for the use of photographs as per above *

yes no
Terms and Conditions
We want you to know about how we operate prior to booking. Please confirm you have read and agree to our terms and conditions.

Terms and Conditions
Confirmed
Booking Process

Booking Fee £ 70.00 GBP

Quantity

Total £ 0.00 GBP

Unicorn Primary School Registration Form