Waycroft Academy Extended ASC/stay & play sign up

Please specify: Stay & Play (4:30 pick up) or Extended After School Club (up to 6pm pick up)*

What days will you need?*

Extended ASC - Most likely pick up time? (5:00,5:30,6:00) - Stay & Play 4:30*

Photography Consent? Yes/No (May be used in advertisement, website and social media posts)*

Child/Children’s Name(s)*

Child’s Classroom(s) & Year Group(s)*

Medical Info (If Any)*

Home Address & Post Code*

Email*

Emergency Contact 1 - Name & Phone Number*

Emergency Contact 2 - Name & Phone Number

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