EKO Forest School Club - Brewood Middle Academy - Educating Kids Outdoors

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EKO Forest School Club – Brewood Middle Academy

EKO Forest School Club - Brewood Middle Academy

School Road, Brewood, Stafford, ST19 9DS

THURSDAYS, 21st September to 14th December 2023
Collection at 5:00pm
Total cost for the Autumn Term £72.00, payment options available
Please 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 in
Name 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
- Other
Please give more details of your child's medical or dietary condition if necessary
In 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
- No
I give my consent for photographs of my child to be used for EKO displays incl. internet site and facebook.*
- Yes
- No
I wish to be kept informed of other EKO activities and events.*
- Yes
- No
I understand my child will be expected to wear a waterproof jacket, trousers and wellies, with additional warm clothing (hats, gloves etc.), for colder months.*
- Yes
I can confirm that my children’s clothing and footwear will be clearly named and, if not, I give permission for EKO to name them.
- Yes
At the end of EKO club my child will be*
- Collected from EKO Club by a parent/carer
- Staying in school for additional after school provision
- Leaving school independently
Please 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 checked
As 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.
- Signed
Billing Information
Please enter your billing information
First Name*
Last Name*
Email*
Address*
Address 2
Town/City*
County*
Postcode*
Country*
I wish to pay with Childcare Vouchers*
- Yes
- No
Childcare Voucher Provider
If you wish to pay by childcare vouchers please enter your provider below and arrange for payment to be made
Autumn Term Payment Options*
The prices have been changed to reflect a start date of 28th September 2023

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Do get in touch today with any enquiries or questions you may have, we are always happy to talk.

Call: 07876658467
Email: info@ekolearning.org.uk

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Educating Kids Outdoors Ltd

Registered charity in England and Wales (1191685)

A company limited by guarantee, registered in England and Wales company number 12114074.

Registered office: Astol Farmhouse, Norton, Shifnal, Shropshire TF11 9EW

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