Easter & Summer Fun @ Whitchurch High School
 Fill in the four stages of the form, review all and then submit.


The daily rate for ActionPak inclusive of all trips is £ 29.
The first child in each family will be charged at this rate and any additional siblings attending on the same day will be charged at £ 24 each per day
Cancellations to bookings / non-attendance will be charged at the full daily rate once the playscheme starts. Changes to bookings / swapping days cannot be guaranteed and will incur an administration charge of £10 on each occasion.

 

Payments, including any voucher payments must be paid 30 days in advance of your child's first attendance. If your child is attending for more than 2 weeks we will accept stage payment in advance.

 

Please make cheques payable to Acorns Nurseries Limited. Returned cheques will occur a £25 charge.

 

Payment can also be made directly into the ActionPak bank account - please email actionpak@acornsnurseries.co.uk for details

 

(*) denotes a required field throughout the registration - ensure you fill these in

 

ActionPak accept childcare vouchers, if you wish to pay all or part of your fees using this method please complete the box below (vouchers for children attending ActionPak cannot be redeemed through nursery accounts):

 

Voucher Company:
Voucher Amount:    


Child Details A
Name: *
DOB: *
Sex: *
Swimming Ability: *
Ethnic Religion: *
Allergies & Illnesses: *
Other Information:
First Language:
Preferred Group: *
Child Details B (Sibling)
Name:
DOB:
Sex:
Swimming Ability:
Ethnic Religion:
Allergies & Illnesses:
Other Information:
First Language:
Preferred Group:
 
Medical
Doctor's Name: *
Doctor's Tel: *
Doctor's Address: *


Mother's Details
Name: *
Mobile Tel: *
Place of Work: *
Work Tel: *

Additional Parent's Details
Email: *
Street Address: *
Town Address: *
Post Code: *
Home Tel: *
Father's Details
Name: *
Mobile Tel: *
Place of Work: *
Work Tel: *

Emergency Contacts
Contact A: *
Contact A Tel: *
Contact B: *
Contact B Tel: *


Horseriding sessions are an extra £16.50 per day. The X denotes ActionPak closed date.

Child A Dates
Child B Dates (Sibling)
Mon Tue Wed Thu Fri
April 2012
Mon Tue Wed Thu Fri
April 2012
9 X 10 11 12 13
16 17 18 19 20
9 X 10 11 12 13
16 17 18 19 20
July / August 2012 July / August 2012
23 24 25 26 27
30   31   1   2   3  
6   7   8 9 10
13 14 15 16 17
20 21 22 23 24
27 X 28 29 30   31 
23 24 25 26 27
30   31   1   2   3  
6   7   8 9 10
13 14 15 16 17
20 21 22 23 24
27 X 28 29 30   31 
Number of Horseriding Sessions: Number of Horseriding Sessions:
Total Price: £

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