Form from: Florendine Primary School

This form has been archived

Please complete this registration form if you wish your child to attend any of our wraparound sessions.

Bookings must be made via Parent Pay and paid in advance before 8.30am on the day of booking. 

Late bookings to be made via email to the school office: [email protected].

Sessions Available

Breakfast early - 7.45am - 8.30am (£4.50)

Breakfast late   - 8.00am - 8.30am (£4.00)

After School Club - 3.15 - 5.15pm (£6.00)

(10% sibling discount given and applied directly to your account on a weekly basis).

Please consider your booking carefully. Bookings may be changed within 24 hours prior to your session by amending your own booking on Parent Pay. No changes can be made less than 24 hours full charge will be made if non attendance.  


Pupil Name (1)


Pupil Name (2)


Pupil Name (3)


Parent Name

Parent Email

Parent Contact Number



Please provide us with any relevant medical information such as dietary, allergies, medical conditions we should be aware of. PLEASE NOTE: THE SCHOOLS NORMAL PROCEDURES FOR THE ADMINISTRATION OF MEDICINE OR FIRST AID APPLIES AT BEFORE & AFTER SCHOOL CLUB.

Medical Conditions


Please provide at least 2 additional emergency contacts.

Emergency Contact 1

Emergency Contact 2


I confirm all consents given in school regarding medical treatement, internet use and photographs applies to Before & After School Club.

I confirm I have read that all the school's safeguarding, behaviour, equal opportunities and health & safety policies apply at Before & After School Club.

I confirm I am aware of the 24 hours minimum notice for cancellation policy and I am aware that if my child's place is cancelled with less than 24 hours notice charges will still apply

I am aware my Parent Pay accounts must be kept in credit at all times and if debts are not cleared my places at club will be withdrawn.

My preferred payment method is:-

My childcare voucher provider is:-

Booking Conditions 1). No refunds are available unless the places or sessions are cancelled at least 24 hours. 2). All school policies and procedures are in place during holiday club including those regarding behaviour. 3). A £15 per 15 minutes late collection fee will apply if your child is collected after the end of the session time booked. 4). FOOD IS NOT PROVIDED AT CLUB SO PLEASE ENSURE YOUR CHILD HAS THE RELEVANT SNACKS WITH THEM IN A NAMED BAG OR LUNCH BOX WHEN THEY ATTEND 5). If my account is in debt balance I understand my place will be removed until the account is in credit. I confirm I have read the above conditions.

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Date completed

My child has a medical condition or allergy