Mandarin Club booking form

Our Year 5 and 6 Mandarin Club will re-start on Monday September 25th 2017 from 4-5pm. Please register below if you would like your child to attend. By completing and submitting this form, I give my consent to receive information from the school by post, email or telephone.

Your Child/Children

First Name *

Last Name *

Age *

D.O.B *

Name of current school *

Parent 1 Information

Title *

First Name *

Last Name *

Parent 2 Information

Title

First Name

Last Name

Contact Information

Full Address *

Postcode *

Home Telephone *

Email *

Mobile *

Further Information

Emergency contact number for your child at Mandarin Club *

Details of any medical conditions

Details of any special dietary requirements e.g. food allergies, including nuts, coconut, vegetarian

Any comments or questions?

Parent/guardian completing this form

First Name *

Last Name *

If you have not already got a copy of The Queen’s School Prospectus and would like to receive one please tick here

Yes

Leave this field blank

Mandarin Club booking form

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