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

After School Clubs Booking Form

Davenies After School Club Y 1 & Y2
Summer Term 2024

Thursdays 3.30pm-4.15pm
25-Apr 2-May 9-May 16-May 23-May 6-Jun 13-Jun 20-Jun 27-Jun 4-Jul

Parent Details

Parent Name(Required)

Email(Required)

Mobile

Number of Children

Child #1 Details

Please complete the details below about your child.

Name of child(Required)

Year Group

Previous Music Experience

Medical or Special Requirements

Davenies 2024 Summer Child 1

Child #2 Details

Please complete the details below about your child.

Name of child(Required)

Year Group

Previous Music Experience

Medical or Special Requirements

Product Name

Price:

Payment

Total

How would you like to pay?

Bank Transfer

Credit/Debit Card

Childcare Voucher

Childcare Grant Scheme

Please pay by BACS with the following details using your child’s name as reference:

Name: Chelsea Quavers Music School
Sort Code: 77-69-67
Account Number: 02495260

Once you have informed us of your childcare voucher scheme, we shall email you the details required for authorising payment.

Childcare Voucher

If OTHER please provide details

Thank you for notifying us you wish to pay via the Childcare Grant Scheme. We shall email you with further instructions.

Credit Card(Required)

Cardholder Name

Card Details

Clicking the button below will debit your credit card for the amount shown.