Club Booking Form

Please complete the CLUB BOOKING FORM below and we will confirm your booking via email. Payments must be made in full once your booking is confirmed via CASH or BACS (payment details will be sent once confirmed).

Once you have signed (ticked) the form below and your child(ren) have been booked in, you are liable to pay for all and every session booked, whether your child(ren) attend preschool or not. Any cancellations or non-attendance will be charged at the normal daily rate. If payment is not received as stated above, places may be given to the next person on the waiting list. All forms of childcare vouchers are accepted, please ask for further information.

Name of Child (1) *
Name of Child (1)
Date of Birth *
Date of Birth
Name of Child (2)
Name of Child (2)
Date of Birth
Date of Birth
Name of Parent/Carer *
Name of Parent/Carer
If you do, please let us know which site.
Please enter a 2nd Emergency Contact Name and relationship to the child.
Please insert your Doctors Name & Telephone number in the box below.
Please list dates and sessions required below (8.30am-12.30pm or 1pm-4pm or All Day)
If someone else is picking up your child they will need this password to collect them.
Please enter any special needs your child might have.
Please enter below any Allergies your child has.
Are they allowed FACE PAINT? *
Are they allowed to be photographed for our EWPS Facebook page? *
Other important information: (school they attend, any fears, toys/ activities they enjoy….)
Please tick the agreement below *
I have read and agree with the conditions (see above) of my booking.

Please see our EWPS Club booking days and times below.