After school creative club - September 2024 booking St Lawrence School Hurstpierpoint After School Club - St Lawrence School Parents Name Email Address Home Address Contact Number Emergency contact number (if different from above) Name and DOB of Child Attending Name and DOB of Child Attending Name and DOB of Child Attending What Year is your child in? Class Name Reception/Year 1/Year 2 Class Location Reception/Year 1/Year 2 Class Location Pirate Ship Central Pickett Right Hand door Central Pickett Left Hand door Far Corner Pickett Class nearest exit Year 6 Only Year 6 Only Is your child allowed to walk independently to poponin? Is your child allowed a hot drink? Session You Are Booking Session You Are BookingOne Off SessionFull Term What day(s) would you like to visit? Would you like pick up from school or will you be dropping off? Would you like pick up from school or will you be dropping off?Pick up From St. LawrenceDropping off @poponin What time does your childs school day end? Time you will pickup your child Time you will pickup your child5.00pm5.30pm6.00pm Who will be collecting your child? Doctors Name and Address Please advise if your child has any allergies. Please advise if your child has any allergies. No Yes If you answered Yes to the above please provide details. Do you know if your child has had a reaction to 'arts and craft' materials ie paints, glue, glitter etc. Do you know if your child has had a reaction to 'arts and craft' materials ie paints, glue, glitter etc. No Yes Is your child allowed a snack and drink whilst at poponin? Is your child allowed a snack and drink whilst at poponin? Yes No Payment Terms Payment TermsOne Off Booking (daily rates)Full Term In Advance (attracts reduced rate)Full Term Split MonthlyFull School Year In advance (full school year, attracts reduced rate plus 3% discount) Costs Costs£16.00 up to 5.00pm/£17.00 up to 5.30pm/£21.00 up to 6.00pm (monthly payment scheme))£15.25 up to 5.00pm/£16.50 up to 5.30pm/£19.50 up to 6.00pm (full term in advance) poponin take photos/video for promotional purposes. Are you OK with your child being in photos/video? poponin take photos/video for promotional purposes. Are you OK with your child being in photos/video? Yes No Would you like to receive the poponin newsletter? Would you like to receive the poponin newsletter? Yes No Already receiving Please use this space for any other information you think useful or helpful to the poponin team. Thank You. Please Confirm Please Confirm I confirm I have read the Terms and Conditions* 10 + 12 = Submit Thank You.