Registration for The Den Breakfast and After School Clubs
We are delighted to offer a Breakfast and After School Club, known collectively as "THE DEN" to all children in our HEN nursery and school. This club runs everyday in term time and allows us to provide wrap around care from 8am to 6pm. We are also open on INSET days (with the exception of 3rd September 2018).

All children who attend The Den must be registered with us. If you have not already registered with us, please complete the form below. Session booking forms will be available shortly.

If you already know the days you will need, please add this information to the booking comments at the end of the form.

If you have any questions, please do not hesitate contact me at theden@hordleprimary.co.uk
Many thanks,
Hannah Rook
Senior Administration Assistant

I would like to register for: *
Child's name (in full) *
Your answer
Preferred name
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Address *
Your answer
Name of parent(s) or guardian(s) *
Your answer
Home telephone number
Your answer
Mobile telephone number *
Your answer
Work telephone number
Your answer
Email address *
Your answer
Please provide details of a second contact person (who we may contact in an emergency). Please provide full name and contact number. Please state if this person is a parent/relative/friend. *
By giving us this persons details, you are confirming that you have gained their consent for us to upload the information given to the school database.
Your answer
Please provide information on any known allergies/medical needs
Your answer
Does your child take any regular medication? (please provide details)
Your answer
Please provide names and contact numbers for any other adults with permission to collect from After School Club:
Your answer
May we use your child's photographs on our website and in any publications that we produce for promotional purposes? *
Required
I give permission for my child to appear on social media sites used by the school e.g. Twitter and Facebook. Please note that names are not used as per our school policy *
Required
If my child does not attend for any reason, I understand that it is my responsibility to inform the school. I understand that no refunds are given. *
Required
I understand that payment for all sessions must be paid in advance. If the school does not receive payment in advance, I understand that my child will not be able to attend until this has been received. *
Required
I understand that invoices must be paid half-termly in advance via www.scopay.com or through Childcare Vouchers. If I am late to collect my child I understand that a late pick up surcharge will apply. *
Required
I understand that no refunds are given should my child not need a session that has been booked.
Thank you for completing this registration form. Your details will now be added to our system so that you can make bookings in the future. If you have a childcare voucher scheme, please provide the company name below so we can ensure we can provide you with reference information in order to make payment.
Your answer
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