Registration — ELITE KIDS CHILDCARE

REGISTRATION

Name

First Name

Last Name

Current Year Group

Date of Birth

MM

DD

YYYY

Age

Sex

Male

Female

Ethnic Origin

School Attended

Staring Date

MM

DD

YYYY

I wish to register my child for (please tick):

Breakfast Club

Monday

Tuesday

Wednesday

Thursday

Friday

Breakfast Club: £6.00 per session (7:30am - 9am)
After School Club: £14 (3pm - 6pm)
Holiday Club: £30 per day (8am - 6pm)