Please note, we are currently only offering Regular Attendance.

Child's name (required)

Child's class

Child's date of birth (required) (YYYY-MM-DD)

Address where Child is resident (required)

Post Code (required)

Parent/carer's first and last name (required)
Mr.Mrs.Ms.Miss.   

Address of parent/carer's residence if different to child

Post Code

Telephone contact information (required):
Home:
Work:
Mobile:

Mum’s email address:
Dad’s email address:

Full fees will be charged for absence

If existing parent are just updating the contract a deposit does not need to be paid

Any special requirements or passwords for pick up?

By submittting this form, I/we hereby enter into the agreement that the above child is to attend Rebecca's Out Of School Club for Chandlers Ford Infant School on the following days:

Breakfast Session (7.30am - 9.00am) £7.25 (siblings £7.00)
Afternoon Session (3.15pm - 6.00pm) £15.75 (siblings £15.25)

Please select wich session you would like to book on which days:

Monday:        BreakfastAfternoon
Tuseday:        BreakfastAfternoon
Wednesday:  BreakfastAfternoon
Thursday:      BreakfastAfternoon
Friday:           BreakfastAfternoon

I/We would like attendance to commence on (YYYY-MM-DD)

Four weeks’ notice to terminate this arrangement or fees paid in lieu. Rebecca’s Out of School Club reserve the right to withdraw its services if any fees remain unpaid for more than 1 week. We Will be closed on inset days for either school i.e. Chandlers Ford Infant School or Merdon Junior School, you will be given four weeks’ notice of this and not charged.

I enclose a £30.00 non-refundable deposit (please tick below if deposit is included). If existing parent are just updating the contract a deposit does not need to be paid.

Please make cheques payable to: TJHP Ltd or Rebecca’s Out Of School Club. Or Bacs payment to Account number 02514205, Sort Code 30-92-94

I have made the £30 non-refundable deposit

Tick to indicate your agreement to comply with Rebecca's Out Of School Club policies and procedures.

I have read and comply with Rebecca's policies and procedures.

Have you submitted your Child Information form?
I have completed a Child Information Form.

Have you submitted your Parental Permission form?
I have completed a Parental Permission Form.

Signature (Please type your name):

Date YYYY-MM-DD: