Carol's Krazy Corner
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Term-time aftercare
Enrolment Form
Tell us about your daughter so we can prepare a warm welcome for her.
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Learner Details
Child's Full Name
*
Date of Birth
*
Grade & Class
*
Preferred Start Date
*
Parent / Guardian
Parent or Guardian Name
*
Email Address
*
Phone Number
*
Home Address
*
Care Schedule
Attendance Type
*
Full time
Half Day
Days Required
Monday
Tuesday
Wednesday
Thursday
Friday
Usual Collection Time
*
Health & Emergency
Emergency Contact Name
*
Emergency Contact Number
*
Allergies, medication or medical conditions
People authorised to collect your child
I confirm the information above is correct and I accept Krazy Corner's aftercare terms and fees.
Submit Enrolment
