Rebecca’s Holiday Club

Easter Holidays 2019

Book for the Easter holidays 2019

To register a place on Rebecca’s Holiday Club Easter 2019, 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)

1st Parent/carer's name (required)

Mrs.Ms.Miss.Mr.Dr.

2nd Parent/carer's name (required)

Mrs.Ms.Miss.Mr.Dr.

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:
Home:
Work:
Mobile:

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 Easter Holidays, 8th April - 12th April 2019

All day session (7:30am - 6:00pm) £34.75

Morning Sessions (7:30am - 12:30pm) £23.25

Afternoon sessions (12:45pm - 6:00pm) £23.75

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

Monday 8th April 19: All dayMorningAfternoon

Tuesday 9th April 19: All dayMorningAfternoon

Wednesday 10th April 19: All dayMorningAfternoon

Thursday 11th April 19: All dayMorningAfternoon

Friday 12th April 19: All dayMorningAfternoon


If you would like to drop off your child/children at 8:15, there will be an additional charge of £1.50 per child. Please inform us that you would like to do this by ticking this box I would like to drop off my child/children at 8:15am

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.

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

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):

Date YYYY-MM-DD:

Download contract
Rebecca's Easter Contract
Rebecca's Easter Contract
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