Bookings

Holiday Club Booking Form

Choose Holiday Period

Child Information

Child’s First Name

Child’s Last Name

Child’s Date of Birth

School Attended

Medical Conditions / Allergies

Dietary Requirements

SEND / Additional information

Parent / Guardian Information

Parent’s First Name

Parent’s Last Name

Relationship to Child

Parent/Guardian Email

Parent/Guardian Phone Number

Address

Address Line 1

Address Line 2

City

County

Postcode

Emergency Contact Information

Emergency Contact’s First Name

Emergency Contact’s Last Name

Emergency Contact Relationship to Child

Emergency Contact Phone Number

Consent

I give permission for my child to participate in all holiday club activities.

I confirm the medical information provided is correct.

I give permission for photos/videos to be taken for promotional use only.

I understand that my child must be collected on time.

I give permission for my child to view PG-rated films in the event of adverse weather conditions.

Payment – The parent / guardian input above will receive this information via email.

£38.00 per session

Please use child’s surname as a reference when making payment.

Sussex Kids Hub

Sort Code: 04-00-06

Account Number: 29091106

We are also registered to receive payment from Gov.uk Tax Free childcare accounts. Additional details you may need:

Ofsted registration number: 2637749

Provider name: Sussex Kids Hub

Business Address: St Nicolas Primary School, Locks Hill, Portslade, BN41 2LA

Make a Booking