BOOKING FORM FOR EMERGENCY CHILDCARE
BOOKING FORM FOR PARENTS/CARERS.  Please note, childcare provision will run from 8.30am -3pm.  Pupils will need to bring in a lunch box, snacks and drinks for the day.    Childcare applies to pupils in Years 7 AND 8.  CHILDREN SHOULD BE AT HOME WHEREVER POSSIBLE. Thank you.

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DATE OF CHILDCARE PROVISION *
Name of pupil/s: *
Date/s of birth *
MM
/
DD
/
YYYY
Year group/s: *
PARENT 1  - Name *
I can confirm that I am in work for the days requested; I meet the local authority's key worker criteria and I have a letter from my employer to this effect. *
Profession: *
Place of work and phone number *
Contact Number: *
PARENT 2 - Name
I can confirm that I am in work for the days requested; I meet the local authority's key worker criteria and I have a letter from my employer to this effect.
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Profession:
Place of work and phone number:
Contact number:
Drop off time: *
Time
:
Collection time: *
Allergies/Additional Information:
I understand that risk is managed in this emergency childcare setting but this does not mean that Olchfa is a safe place to be; I accept that my child/children would be safer at home. *
Required
Parent/Carer Name/Signature *
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