Rebecca’s Holiday Club

Easter 2020

Easter 2020

To register a place on Rebecca’s Holiday Club Easter 2020, 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 £15 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)


    2nd 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 February Half Term Holidays, 18th - 22nd February 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 which session you would like to book on which days:

    Monday 6th April 2020: All dayMorning sessionAfternoon session

    Tuesday 7th April 2020: All dayMorning sessionAfternoon session

    Wednesday 8th April 2020: All dayMorning sessionAfternoon session

    Thursday 9th April 2020: 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):

    Date YYYY-MM-DD:

    Download contract
    Rebecca's Easter 20 Contract
    Rebecca's Easter 20 Contract
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