SPRING 2020 Oak Lodge Primary School Registration Form

Oak Lodge Primary School Registration Form

Fill out the form carefully for registration
UNLESS OTHERWISE INFORMED, Classes are held from 3.30pm - 4.30pm on Tuesdays from week Tuesday 14th January – 24 March 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 NameLast 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 NameLast 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 NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Telephone Number*
Email address*
example@example.com
Alternative emergency contact details

First NameLast 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*

yesno
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

Quantity

Total £0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

Oak Lodge Primary School Registration Form

Sibling Details (2nd child) where more than one child is being booked

Parent/Guardian Contact Details

Photograph Permission

Terms and Conditions

Booking Process