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Coldfall Primary School

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Before and After School Clubs

Before and After School Clubs

Your Name

Which Club?Early BirdsNight Owls

Child's Surname First Names Date of Birth Class Home Address Contact Phone Number Email Mother's Name Daytime Contact Number Father's Name Daytime Contact Number Name of Emergency Contact Contact Number Relationship to Child Any Specific health or dietary needs - please give details

If places are not available your child/children will be placed on the waiting list and you will be notified as and when a place becomes available.

Please circle the day/days that you would like to use -MondayTuesdayWednesdayThursdayFriday

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Before and After School Clubs
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