Please note, we are currently only offering Regular Attendance.
Child's name (required)
Parent/carer's first and last 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
Telephone contact information:
Full fees will be charged for absence
If existing parents are just updating the contract a deposit does not need to be paid
Any special requirements or passwords for pick up?
If you have/would like your child/children to attend Merdon breakfast session and wish to drop them off in the car park we need written authorisation for Jenny Knight to sign them in.
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 Merdon Junior School on the following days:
Breakfast Session (7:30am - 9:00am) £6.25 (siblings £6.00)
Afternoon Session (3.30pm - 6:00pm) £14.50 (siblings £14.00)
Please select wich session you would like to book on which days:
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 Merdon Junior School.
For new parents/carers a £30.00 nonrefundable deposit is required (please tick below if deposit is included). If existing parent and just updating the contract a deposit does not need to be paid or moving up to Juniors
Please make cheques payable to: TJHP Ltd or Rebecca’s Out Of School Club or bacs account number 02514205 or sort code 30-92-94.
I have made payment of the non-refundable deposit
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):
We're not around right now. But you can send us an email and we'll get back to you, asap.
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