Date Name of Parent or Career Email Address (we will provide confirmation by email) Childs name DOB Site Child Attends West Site (Brunts Lane)East Site (Kings Reach) One Off Session Request Please can my child attend the following as a 'one off' session. I understand I will be charged for this session at the current rate of £16.50 per session for children aged 2 years old to the term after their 3rd birthday and £14.25 thereafter. Date of extra session AMPM Reason I agree to the terms and conditions Change of Session Request Please can I change my child's sessions (or be placed on the second waiting list if the requested sessions are unavailable) as follows: My child currently attends (please tick all that apply) Monday AMMonday PMTuesday AMTuesday PMWednesday AMWednesday PMThursday AMThursday PMFriday AMFriday PM I would like to change it to he following session (please tick all that apply) Monday AMMonday PMTuesday AMTuesday PMWednesday AMWednesday PMThursday AMThursday PMFriday AMFriday PM Starting From Date I understand some of these sessions may be chargeable, these will be advised at the time of confirmation.Once sessions have been changed, they may be allocated to another child and therefore we may be unable to offer the sessions again in the future. I agree to the terms and conditions