After School & Holiday Club Registration

Child Details

Does this parent have parental responsibility? (1)
Emergency Contact? (1)
Does this parent have parental responsibility? (2)
Emergency Contact? (2)
Does this parent have parental responsibility? (3)
Does this parent have have legal access to the child? (3)? (1)
Emergency Contact? (3)
Does your child have any special needs or disability?
Will this be your child's first experience of being in an English speaking environment?

Please notify of any changes. NO child will be released to an unauthorised person.

Address

Milford Pre-School

Lymington Road
Milford on Sea
Hampshire
SO41 0RF
TEL: 01590 644684

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