EmailMeForm
Winter Wonderland Holiday Club Balsall Common
At Pathways Nursery Balsall Common
7.30-6.00 - £32.00
9.00-4.00 - £23.50
Flexi hours - £3.60 per hour
Balsall 4-11 year olds
Setting:
*
Balsall Nursery
Is your child already registered with us?
*
Yes
No
Child's Name:
*
2nd Child's Name:
Date of Birth
*
DD
/
MM
/
YYYY
Date of Birth
DD
/
MM
/
YYYY
Wednesday 2nd January
Please select
7.30-6.00
9.00-4.00
Flexi Hours
Flexi Hours Wednesday
Thursday 3rd January
Please select
7.30-6.00
9.00-4.00
Flexi Hours
Flexi Hours Thursday
Friday 4th January
Please select
7.30-6.00
9.00-4.00
Flexi Hours
Flexi Hours Friday
Any Allergies/Dietary Requirements or other notes:
Parents Name:
*
Parents Contact Number 1:
*
Parents Contact Number 2:
Email Address: