Out of School Club- Application by ti6joh

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									               Out of School Club- Application
Please note this is not a Registration Form- You will be informed if your
application can be accommodated and will require to attend a
Registration Interview in this instance. If we cannot offer a suitable place
at this time- You will be contacted to see if you wish to be held on our
Waiting List.


PARENT/ GUARDIAN DETAILS
(Circle As Applicable) Mother      Father          Carer

NAME-          ______________________________

ADDRESS-       ______________________________

               _____________________________

TEL-           ________________________

NO. OF PLACES REQUIRED -           ___________________

EMPLOYMENT STATUS -        FULLTIME / PART-TIME / FULL TIME STUDENT / PART-TIME STUDENT /
                           OTHER



CHILDRENS DETAILS (If more than 3 children please attach separate details)


1) NAME-       ___________________________AGE-______CLASS-__________


2) NAME-       ___________________________AGE-______CLASS-__________

3) NAME-       ___________________________AGE- ______ CLASS _________




I
    I REQUIRE CHILD/RENS PLACE/S ON THE FOLLOWING TERM TIME DAYS


        DAY               TICK    REQUIRED PICK UP TIME (approx.)
        MON
        TUES
        WED
        THUR
        FRI


I REQUIRE IN SERVICE DAYS-         YES / NO
   HOLIDAY                 TICK  REQUIRED PICK UP TIME (approx.)
   EASTER
   SUMMER
   OCTOBER
        I REQUIRE CHILD/RENS PLACE/S ON THE ABOVE PERIODS

                     You will be advised on Holiday Availability


IF MY APPLICATION IS UNSUCCESSFUL I WISH TO BE
HELD ON A WAITING LIST- (Please delete)                                  YES / NO




Please send this completed form to –
Community Link Childcare
Silverburn Lodge, Bridge of Don
Aberdeen
AB14 OUR




You will be informed when a place becomes available for your child.
Declaration
I understand that applications are processed in line with Community Link Childcare
admissions policy which is available on request.



SIGNATURE: _____________________________ Date ____/____/_________




                           Thank You for Your Enquiry

								
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