BISLEY BASE Ltd Holiday Booking Form

Please indicate below the days you wish to book for Holiday childcare at Bisley Base.
Please state the time you would like to book e.g 9 – 5

Calculate the hours and total the cost.

Week Commencing	Mon	Hours x £4.25	Total	Tues	Hours x £4.25	Total	Wed	Hours x 4.25	Total	Thurs	Hours x £4.25	Total	Fri	Hours x£4.25	Total
eg	9-5	8x £4.25	£34	nil	0	0	9 - 3	6 x £4.25	£25.50	9-4	7 x £4.25	£29.75	nil	0	0
Grand Total

Please use one booking form per child.

Holiday (Christmas, Easter, June ½ term etc.)
Childs Name	Parents Name
Date of birth	Telephone No
Address
Total sessions booked and cost __________ = £ ___________ Cheques payable to 'Bisley Base'	Emergency Contact No

Please complete this form and return it with the registration form and a cheque for the amount due to:

Lynda Faithfull, Bisley Base Ltd, 11, Oakwood Court, Clews Lane, Bisley. Surrey. GU24 9SJ

Places will be offered on a first come, first served basis; to secure a place, payment will be required. Places are not confirmed until we have received payment.

Permissions:-

I give permission for Lynda Faithfull or a member of staff to transport my child in their car, which is insured for business use (transporting children), for outings during and as part of the holiday play scheme.

I also give authority for Lynda Faithfull or a member of staff to give permission for medical treatment, as recommended by qualified medical practitioners, should emergency treatment be required when my child is in their care

................................................................. Parent/Guardian ................................ Date