Holiday Club Booking Booking Form January 2019 Venue: The large Room in the Nursery Building (The old Fairbairn building, situated on the left as you enter the College Campus via Radmoor Road) Child's Name (required) Date of Birth (required) Please complete the booking form, selecting the type of session you require e.g. FD, SD, AM or PM FD = 8:00am - 6:00pm SD = 8:30am - 3:30pm AM = 8:00am - 1:00pm PM = 1:00pm - 6:00pm Monday 31stDecember Tuesday 1stJanuary Wednesday 2ndJanuary Thursday 3rdJanuary Friday 4thJanuary Session RequiredFD/SD/AM/PM Club Closed Club Closed ---Full DayShort DayMorningAfternoon ---Full DayShort DayMorningAfternoon ---Full DayShort DayMorningAfternoon A variety of Arts and Crafts, fun and games use of the sports hall and park visits where possible will be carried out throughout the January holiday club General Reminder: Please provide your child with a packed lunch, a couple of snacks and a refillable drinks bottle. All foods brought to the club must be NUT FREE. Holiday Club Rates DailyRate LoughboroughUniversity Subsidised StaffFees FULL DAY8.00am-6.00pm £28.00 £23.00 £25.00 SHORT DAY8.30am-3.30pm £25.00 £20.00 £20.50 MORNING8.00am-1.00pm £18.00 £15.00 £14.50 AFTERNOON1.00pm-6.00pm £18.00 £15.00 £14.50 There is a 10% discount for the second/third child when siblings attend the club on the same day. Once we have received your booking form and we have confirmed availability, your payment becomes due. Non-payment will result in your booking being withdrawn. You will still be charged for the sessions booked, regardless of any cancellations or place being withdrawn. I have previously completed a Holiday Club Registration Form and confirm that my details have not changed.---YesNo If the details have changed please inform us via email to email@example.com I have read the information booklet ---YesNo Payment methods Payment can be made by the following:- Cheque: Payable to Loughborough College and sent to the address at the bottom of the page. Cash: Accepted at the nursery office. Telephone payment: All credit and debit cards are accepted except American Express. Please contact the office between the hours of 9.00am-2.30pm to make a payment. Internet banking: Account name: Loughborough college, Account number: 40329560, Sort code: 30-65-85, Reference – child’s name Salary sacrifice vouchers: Please contact the nursery office for details on 01509 515456 I shall be making payments by: ---ChequeCashTelephone paymentInternet bankingSalary sacrifice vouchers Loughborough University Employees only: I am eligible to claim the Loughborough University subsidy ---YesNo Name of Employee Department Loughborough College Employees only: Name of Employee Department Form completed by (Name of the person with Legal Parental Responsibility) Parent/Guardian Name (required) Any Other Details Parent/Guardian Email address: (required) Please submit completed forms online or paper based may be sent to: Radmoor Day Nursery, Radmoor Rd, Loughborough, Leicestershire, LE11 3BT. On receipt of this form we will you contact you to confirm your sessions. Please contact firstname.lastname@example.org or Radmoor Nursery on 01509 515456 with any enquiries. Please leave this field empty.