Berkswich Methodist Church

Holiday Club Booking Form

Please complete the following form to reserve a place on our holiday club.

Once we receive this form we will reply by email to confirm that a place has been reserved for your child.  The email will also provide information on how to make this a confirmed booking.  

Parents/Guardian Name

Address

email address

Telephone number

Child 1

Childs name  Date of Birth

Please tick which mornings they would like to attend

Monday Tuesday  wednesday  Thursday Friday

Child 2 (if applicable)

Childs name  Date of Birth

Please tick which mornings they would like to attend

Monday  Tuesday  Wednesday Thursday Friday

Child 3 (if applicable)

Childs name  Date of Birth

Please tick which mornings they would like to attend

Monday  Tuesday  Wednesday Thursday  Friday

 

Any other comments/questions?