After School Course Bookings...

To book on one of Extra Time's current after school clubs please fill in the form below and hand in to your school office or post to the address further below:

Please complete this Booking Form and print it out using the button or from the browser window:

School
Activity
Name
Gender
Date Of Birth
Contact Telephone numbers for the days of the course:
Contact No 1
Contact No 2
Please specify any medical conditions or disabilities:
Medical Conditions
Please specify how your child will get home:
Home Transportation
Please sign to confirm permission for your child to attend and basic emergency aid to be applied if necessary:

Signature           __________________________________________________

For details of current after school courses please call Jonathan Pearson on 07789 114779.