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CHILDS INFORMATION CHILD 1 CHILD 2 CHILD 3ForenameSurnameDate of BirthAgeSchoolDoctors NameDoctors Tel NoAllergies, special needs,

dietary restrictions etcPlease indicate Yes/No ifchildren carry an EpipenAddress

Parent/Guardian's Title Mr/Mrs/Miss/Ms Forename SurnameTelephone Number Contact 1 Contact 2Alternative Contact Name Alt Contact NumberContact Email

Where did you hear about us?

THE PLAY STATION SUMMER 2013 BOOKING FORM

Total Amount Payable: PAYMENTPayment confirms your acceptance of the booking conditions. The named person on the booking confirmation accepts

the booking conditions on behalf of all on the booking form. Payment must be made before attending sessions.

Signed: Date: Thank you for choosingThe Play Station.

Please indicate on the form overleaf the sessions you wish your child to attend.

Half day - 8.00am to 12.45m or 12.30pm to 5.45pm 13Full Day - 8.00am to 5.45pm 22FULL Week 105 (save 5)

Second Child 100 (save 10)Subsequent children are charged at second child rate

7/28/2019 Summer Holiday Booking Summer 2013

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DatestoNote

Thursday1stAugust:TriptoCliftonPark

Friday

9thAugustTriptoCleethorp

es:speaktoTonifordetails

CANCELLATION/NON

ATTENDANCE

Pleas

eseeattachedsheetregardin

gnewterms&

conditions

Days

Full

Half

am

pm

Full

Half

am

pm

Full

Half

am

pm

Full

Half

am

pm

Full

Half

am

pm

Amount

Due

Monday22ndJuly

Tuesday23rdJuly

Wednesday24thJuly

Thursday25thJuly

Friday26thJuly

Child1

Child1

Child1

Child1

Child1

Child2

Child2

Child2

Child2

Child2

Child3

Child3

Child3

Child3

Child3

Monday29thJuly

Tuesday30thJuly

Wednesday31stJul

y

Thursday1stAugu

st

Friday2ndAugust

Child1

Child1

Child1

Child1

Child1

Child2

Child2

Child2

Child2

Child2

Child3

Child3

Child3

Child3

Child3

Monday5thAugust

Tuesday6thAugust

Wednesday7thAugu

st

Thursday8thAugu

st

Friday9thAugust

Child1

Child1

Child1

Child1

Child1

Child2

Child2

Child2

Child2

Child2

Child3

Child3

Child3

Child3

Child3

Monday12thAugust

Tuesday13thAugust

Wednesday14thAugust

Thursday15thAugust

Friday16thAugu

st

Child1

Child1

Child1

Child1

Child1

Child2

Child2

Child2

Child2

Child2

Child3

Child3

Child3

Child3

Child3

Monday19thAugust

Tuesday20thAugust

Wednesday21stAugust

Thursday22ndAugust

Friday23rdAugu

st

Child1

Child1

Child1

Child1

Child1

Child2

Child2

Child2

Child2

Child2

Child3

Child3

Child3

Child3

Child3

BANK

HOLIDAY

Tuesday27thAugust

Wednesday28thAugust

Thursday29thAugust

Friday30thAugu

st

Child1

Child1

Child1

Child1

CLOSED

Child2

Child2

Child2

Child2

Child3

Child3

Child3

Child3

Total