Waiting list for Explorers
Please complete this if you would like to be added to the waiting list for Explorers
* Required
Name of Pupil
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Year group
*
EYFS
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Breakfast club interest 8am
*
Yes
No
Required
After school club interest until 5pm
*
Yes
No
Name of Parent completing form
*
Your answer
Contact telephone number - home
Your answer
Contact telephone number - mobile
*
Your answer
Date - Today's date
*
MM
/
DD
/
YYYY
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