We are now taking bookings for 04/01/17 – 06/04/17 (INSET days accounted for). Completed booking forms
can be returned to the happy hut, school office or to Active8 Minds by post. All completed and signed forms
must be received before 12TH DECEMBER 2016.
Please ensure your child has a change of clothing suitable to the activity, a refillable
water bottle and a snack. No nuts please.
Please complete the form overleaf and return to the school office or Active8 Minds no
later than the 12th December
Day
Monday
Wake Up Club
Club Active8
Club Cre8ive
Double Session
(0730-0845)
(1515-1630)
(1515-1630)
(1515-1800)
Games & Crafts
Football Skills
£42.00
Tuesday
Thursday
Friday
£54.00
£54.00
Benchball
Arts and crafts
£42.00
£54.00
£54.00
Games & Crafts
Dodgeball
Arts and crafts
£45.50
£58.50
£58.50
Games & Crafts
Tag Games
Arts and crafts
£45.50
£58.50
£58.50
Games & Crafts
Multi Skills
Arts and crafts
£42.00
£54.00
£54.00
Games & Crafts
Wednesday
Arts and crafts
Includes Club Active8 or Club Cre8ive
followed by team games & crafts
£114
Includes Club Active8 or Club Cre8ive
followed by team games & crafts
£114
Includes Club Active8 or Club Cre8ive
followed by team games & crafts
£123.50
Includes Club Active8 or Club Cre8ive
followed by team games & crafts
£123.50
Includes Club Active8 or Club Cre8ive
followed by team games & crafts
£114
Please clearly highlight which sessions your child will be attending.
Ad hoc sessions: £4.00 Wake up club, £5.00 single afternoon, £10.00 double afternoon.
www.active8minds.co.uk
Active8 Minds 2016/17
[email protected]
Petersfield Infant School
Child Name________________________________________ DOB_________
Home Address____________________________________________________
Postcode_____________________ Email______________________________
Telephone ___________________________/___________________________
Parent/Guardian to pick up __________________________________________
Emergency contact _________________________________________________
Medical condition _________________________________________________
Signed ___________________________________________________________
Total amount payable: £________________________________________
PLEASE ENSURE ALL DETAILS ARE COMPLETED OR THE FORM WILL NOT BE
PROCESSED. INITIAL PAYMENT MUST BE MADE BEFORE THE 31st December 2016 OR
YOUR CHILD WILL LOSE THEIR PLACE, WILL BE TURNED AWAY FROM THE CLUB AND
A FINANCIAL PENALTY WILL BE INCURRED.
*Costs are for the full term and by signing this form you are agreeing to our
T’s & C’s (see website for details – bookings)
PAYMENT DETAILS:



Full payment due before 31st December 2016
50/50 payment – First 50% payment due before 31/12/16
Final 50% payment due before 06/02/17

Please make all cheques payable to Active8 Minds after school club

Online bank transfer: 09-01-28 80841367 – Ref: “PIS” + child surname

WorldPay telephone payments (credit/debit card), Tel: 01243 696580

Childcare vouchers (see website for list of providers)
OFSTED NUMBER: EY494299
ACTIVE8 MINDS, 11E THE WREN CENTRE, WESTBOURNE ROAD,
PO10 7SU, EMSWORTH – 01243 696580
www.active8minds.co.uk
Active8 Minds 2016/17
[email protected]