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Pixmore


Please fill in your details below to enrol your child on one of our Pixmore morning clubs.
You can book one day a week or the whole week (apart from Thursday).

Please confirm which days of the week you require in the field below.

We will then contact you regarding the termly cost.


School
Number of Children:
Parent's Name:
Parent's Phone No.:
Parent's Email:

Child's Name:
Child's Date of Birth:
School Class:
Allergies, Medical/Special needs:

Child's Name:
Child's Date of Birth:
School Class:
Allergies, Medical/Special needs:

Child's Name:
Child's Date of Birth:
School Class:
Allergies, Medical/Special needs:

Total to pay
£