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Sports Club - Summer

Week One: 19th Aug
Week Two: 12th Aug
Week Three: 5th Aug
Week Four: 29th Jul

Parent / Guardian Name

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Parent / Guardian First Name

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Parent / Guardian Last Name

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Telephone

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Please Select Your Council

Councils

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Address

Street Address

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Address Line 2

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Town / City

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Postcode

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Alternative Contact Name

First Name

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Last Name

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Alternative Contact Telephone

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Relationship to child

Names of People that you consent to pick your child up along with their contact details. Your child will not be released to any person not named below.

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Children Added To Your Booking

Child's Name	Amount to pay at checkout	Amount to be paid using childcare voucher	Action