If you are interested in booking a place at Breakfast Club please email the office on admin@coleyprimary.reading.sch.uk or call on 01189375461.
Breakfast Club Registration Form
Child's Information:
- Full Name: _________________________________
- Date of Birth: ______
- Year Group: ________________________________
Parent/Guardian Information:
- Full Name: _________________________________
- Contact Number: ___________________________
- Email Address: ____________________________
- Emergency Contact Name & Number: _____________________________________
Attendance Details:
Days Attending (Please tick):
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Dietary Requirements & Allergies:
- Please specify any medical dietary restrictions or allergies: ___________________________________________________________________________
Medical Information:
- Any medical conditions we should be aware of? ___________________________________________________________________________
Permissions:
- I give permission for my child to attend the Breakfast Club from 8:00 AM to 8:45 AM on the days selected.
- I give permission for staff to administer first aid if necessary.
- I have signed the Breakfast club agreement
Payment Details:
- Cost per session: £ 6
- Payment method: Arbor App Only
Signature:
- Parent/Guardian Signature: _________________________ Date: ______