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Summer 2019 Holiday Club Balsall Common
At Holly Lane Day Nursery
7.30-6.00 - £32.00
9.00-4.00 - £23.50
Flexi hours - £3.60 per hour
Balsall 3-5 year olds
See booking form for dates and sessions.
Setting:
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Balsall Nursery
Is your child already registered with us?
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Yes
No
If you have ticked no, how did you hear about us?
Child's Name:
*
2nd Child's Name:
Date of Birth
*
DD
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MM
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YYYY
Date of Birth
DD
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MM
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YYYY
Sessions:
Pleae enter the sessions times followed by the dates. eg. 7.30-6.00 - 1,4,7 August
Any Allergies/Dietary Requirements or other notes:
Parents Name:
*
Parents Contact Number 1:
*
Parents Contact Number 2:
Email Address:
I agree to Pathways privacy policy
Your details will be used for processing your booking and added to our childcare software if you are not already on there. All new children will be required to complete a registration form prior to attending.
