Rebecca’s Holiday Club

Autumn half term

book for the Autumn half term

To register a place on Rebecca’s Holiday Club October Half Term 2018, complete the secure online form below or, download, print, complete and return to the PDF or MS Word document.

We also need an accompanying Holiday Club Child Information Form and Parental Permission Form. Please complete EVERY section on all 3 forms.

To enable us to prioritise your registration a non-refundable deposit of £10 is required, this can be paid by BACs transfer, over the phone by credit/debit card. Further instructions will be provided upon submission to your registration.

Please complete EVERY section

Child's name (required)

Parent/carer's name (required)


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

Address of child's residence (required)

Post Code (required)

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

Post Code

Telephone contact information:

Email address:

Any special requirements or information we should know?

By submittting this form, I/we hereby enter into the agreement that the above child is to attend Rebecca's Holiday Club during the October Half Term Holidays, 22nd - 26th October 2018

All day session (7:30am - 6:00pm) £33.50

Morning Sessions (7:300am - 12:30pm) £22.50

Afternoon sessions (12:45pm - 6:00pm) £23:00

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

Monday 22nd October 2018:All dayMorning sessionAfternoon session

Tuesday 23rd October 2018:All dayMorning sessionAfternoon session

Wednesday 24th October 2018:All dayMorning sessionAfternoon session

Thursday 25th October 2018:All dayMorning sessionAfternoon session

Friday 26th October 2018: All dayMorning sessionAfternoon session

Rebecca's reserve the right to withdraw its services if any fees remain unpaid for
more than 1 day.

Please make a £10, non-refundable, deposit to register your child's place by either:
1) making a BACS payment to TJHP Ltd T/A Rebecca's out of school club sort code 30-92-94 account number 02514205 or,
2) sending a cheque made payable to Rebecca's Out Of School Club to Rebecca's Out Of School Club, 34 Valley Road, Chandlers Ford, SO53 1GP.
Fees are required, in full, on or before the first day of attendance.

Tick to indicate your agreement to comply with Rebecca's Holiday 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):


February 2018 Contract
February 2018 Contract
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