Rebecca’s Holiday Club

Summer 2019

Book for Summer 2019

To register a place on Rebecca’s Holiday Club Summer 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 £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)

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 Summer holiday 2019, 29th July - 16th Aug 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 29th July 19: All dayMorningAfternoon

Tuesday 30th July 19: All dayMorningAfternoon

Wednesday 31th July 19: All dayMorningAfternoon

Thursday 1st Aug 19: All dayMorningAfternoon

Friday 2nd Aug 19: All dayMorningAfternoon


Monday 5th July 19: All dayMorningAfternoon

Tuesday 6th July 19: All dayMorningAfternoon

Wednesday 7th July 19: All dayMorningAfternoon

Thursday 8th Aug 19: All dayMorningAfternoon

Friday 9th Aug 19: All dayMorningAfternoon


Monday 12th July 19: All dayMorningAfternoon

Tuesday 13th July 19: All dayMorningAfternoon

Wednesday 14th July 19: All dayMorningAfternoon

Thursday 15th Aug 19: All dayMorningAfternoon

Friday 16th Aug 19: All dayMorningAfternoon


Please make a £15, 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 Summer Contract
Rebecca's Summer Contract
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