HAGBOURNE CE PRIMARY SCHOOL

Extended Services

Afterschool Club Booking Form

NAME OF CHILD :                                                 YEAR :

Session Times

Regular Bookings

3.00pm – 6.00pm

End of Term:

Christmas, Easter, Summer

1.30pm - 4.30pm

Ad Hoc Sessions

Please Note Payment must be made at the time of booking Ad Hoc Sessions

Notes

Cost

£11.00

£11.00

Monday

Tuesday

Wednesday

Thursday

Friday

Please tick the sessions you require completing one form for each child

Start date: ______________________________________________(the date you wish to start/date of ad hoc session)

This will be your regular booking in term time until further notice, or Ad Hoc as indicated.  

Please give us four weeks’ notice in writing by email to finance.3249@hagbourne.oxon.sch.uk

Or by letter to Mrs Lynda Madani, School Business Manager

Signed:    Parent/Carer:

Parent/Carer Email:

Date:

Payment is required on receipt of Invoice

Ad Hoc Payment with booking request

Please indicate  your method of payment.  

Cheque

Payable to: Oxfordshire

County

Council

Cash

Childcare Vouchers

Company

_____________

or

Parentmail

For school use:

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