EKO Forest School Club - Birchfield School - Year 2 to Year 8Birchfield School, Harriot’s Hayes Lane, Albrighton, Near Wolverhampton WV7 3AFTHURSDAYS, 18th April - 11th July 2024 Collection at 5:40pm Total cost for the Summer Term £84.00, payment options availablePlease note that if you choose to pay by instalments a £2 admin fee is applied to the first instalment.Child's Name* First Name Surname / Family Name School Year*Please select the School Year your child is in2345678Name of Parent/ Guardian* First Name Surname / Family Name Email*Please provide the email address that you would like ALL correspondence to go to.Mobile*Please provide one mobile phone number that you can be contacted on in the event of an emergency during EKO Club.Does your child have any medical or dietary conditions that we should be aware of?* No Asthma or Bronchitis Severe Allergies requiring an EPI pen Other Allergies OtherPlease give more details of your child's medical or dietary condition if necessaryIn the event of a minor accident and when I cannot be contacted, I agree for First Aid to be administered by a qualified First Aider.* Yes NoI give my consent for photographs of my child to be used for EKO displays incl. internet site and facebook.* Yes NoI wish to be kept informed of other EKO activities and events.* Yes NoI understand my child will be expected to wear a waterproof jacket, trousers and wellies, with additional warm clothing (hats, gloves etc.), for colder months.* YesI can confirm that my children’s clothing and footwear will be clearly named and, if not, I give permission for EKO to name them. YesAt the end of EKO club my child will be* Collected from EKO Club by a parent/carer Staying in school for additional after school provisionPlease contact us if any of these details change.Please check you have chosen the correct school and key stage (if appropriate). If correct please tick 'yes'*You can check this by looking at the page title at the top of this page. Yes, I have checkedAs the parent/guardian I have read, fully understand and am satisfied with the details supplied regarding EKO Club activities and agree for my child to take part in them.*Ticking 'Signed' means you have electronically signed for this. SignedBilling InformationPlease enter your billing informationFirst Name*Last Name*Email*Address*Address 2Town/City*County*Postcode*Country*I wish to pay using Childcare Vouchers* Yes NoChildcare Voucher ProviderIf you wish to pay by childcare vouchers please enter your provider below and arrange for payment to be madeSummer Term Payment Options*£84.00 - Total payment for Summer Term£44 - First Instalment for Summer Term£84.00 - Childcare Voucher Payment for Spring TermIf you have chosen to pay by instalments you will receive an invoice for £42 for the second instalment of the Summer Term in May. This Invoice will be emailed to you via PayPal, you DO NOT need to complete an additional booking form.