Waiting List | Bubbles and Babbles

Adults First name

Adults Last name

Phone

Emergency Contact

Email

Childs Name

Childs DOB

Day

Month

Year

Do you or your child have any medical or other needs or requirements that we should be aware of?

Are you happy to have photos/ videos taken of you/ your child (these may be shared on social media)

Yes

No

Which do you require? (Select all that suit)

Mondays Wombwell (start time between 10am - 12:10pm)

Thursdays Wombwell (start time between 10am - 12:10pm)

Mondays Athersley (Start time between 1pm and 2:15pm)

Tuesdays Athersley (Start time between 9:30am - 12:00pm)

Fridays Athersley (Start time between 9:30am - 12:00pm)

Fridays Athersley (Start time between 4pm - 5:30pm)

Would you prefer to pay by Direct Debit or Pay per Term?

Direct Debit (Between £42-£46 pm depending on total number of weeks in the year = total weeks divided by 11 months starting last day of August)

Termly (Between £67.50 - £108 per term depending on number of weeks in the term)

Any other comments (Please note if you are requesting specific times I will try my best to accommodate but cannot guarantee it. If you are selecting the same slot as this term then all groups will be kept together at the same sort of time where possible)

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