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Kilmorie Primary School

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Wrap Around Care Registration Form

Wrap Around Care Registration Form

Child's Name

First* Last* Current Year Group* Date of Birth*

Breakfast Club 7:45-8:30am

Breakfast Club - please select all required days*MondayTuesdayWednesdayThursdayFridayN/A

After School Wrap

After School Wrap - 1 hour (until 4:30pm)*MondayTuesdayWednesdayThursdayFridayN/A

After School Wrap (pick up before 6:30pm)*MondayTuesdayWednesdayThursdayFridayN/A

Parent /Carer Details

First Name* Last Name* Street Address* Address Line 2* City* ZIP / Postal Code* Mobile/Phone Number* Alternative Phone Number Email*

Details of Alternative Emergency Contact

First Name* Last Name* Street Address* Address Line 2* City* ZIP / Postal Code* Mobile/Phone Number* Alternative Phone Number Relationship to Child* Any medical, allergy, intolerance or EHCP requirements*

In this section

Lion King
Year Four
Parent Questionnaire
Students
Contact Form
Lettings Enquiry Form
Report pupil absence Form
Wrap Around Care Registration Form
Communication Survey
test trip form

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