Payment for EYFS Tea Time club Registraion

Important:The Tea time club is only for Early Years Foundation Stage (EYFS) pupils, it is only open to children in F1 and F2 classes.

Child's First Name*

Child's Last Name*

Class*

Any Sibling in year 3 or above?

Names of Sibling

Sibling Class

Title

Parent's First Name*

Parent's Last Name*

Email*

Medical information (if any)*

Dietary Requirements*

Named adults that can collect your child:*

We advise more than 1 adult.

Agreed Password*

WEEK 1 22/04/16

Tuesday Week1

Wednesday Week1

Thursday Week1

Friday Week1

Monday*

Tuesday*

Wednesday

Thursday

Friday

Total Amount

Payment method

Offline Payment (The charge will adde on fees)

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*

I accept