Bushey Manor Registration Form

Please complete the following form to:

- enrol your child in the Year 5 After School Classes
Bushey Manor school - Tuesday after school - pickup 4.20pm

- enrol your child in the Year 4 class (Discounted for Bushey Manor students only)*
MTT Hall, Chalk Hill, Wednesday 5pm - pickup 6.00pm

For all other enquiries, please use the Contact Us form.

To comply with Safeguarding requirements, please could you provide all the information requested.

Where the enrol box has been checked, it is assumed that parents wish to book a place at the indicated class.

Costs

The cost of the After School Club is £19.50 per class, based on a commitment to a term. (Plus books). Please tick the appropriate box below on how you wish to pay.

.All classes are subject to availability. Classes may not take place if there is insufficient interest or demand.

** Costs may vary depending on the number of weeks in a school term. Costs may increase / decrease accordingly

*** Discount is only available to Bushey Manor children. It is not transferable,

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Bushey Manor Registration Form

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Parents Name: *

Child's Name: *

Full Postal Address: *

E-mail address: *

Mobile No: *

I confirm my child attends Bushey Manor School

I would like to enrol my child in the Year 5 After School Club.

I would like to enrol my child in the Year 4 class at the MTT Hall (Not held at School)

I wish to pay per term (£19.50 x 10 = £195)**

I wish to pay monthly (£19.50 x 4 = £78)

Name of class, ie 5H: *

Additional comments / notes

*

I herby agree that my data entered in the contact form will be stored electronically, and will be processed and used for the purpose of establishing contact. I am aware that I can revoke my consent at any time.

Note: Fields marked with * are required

Bushey Manor Registration Form

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