Home Ed Club Waiting List

Please fill out the below form to add your child/children to the waiting list for our Home Ed Clubs.

Our current wait list time is approximately 1 - 3 months, however the more potential days you could commit to the shorter this times begins as more spaces will be available.

Childs Name

First Name

Last Name

Childs DOB

YYYY

Phone Number

Club Days - Please select all that would be suitable

Monday 2.15pm (4 - 8, and 8 - 13)

Tuesday 2.15pm (4 - 8)

Wednesday 2.15pm (4 - 8, and 8 - 13)

Thursday 2.15pm (4 - 8, and 8 - 16)

Friday 12.00pm (4 - 8, and 8 - 13)

Friday 1:45pm (12+ only)

Friday 1:45pm (8 - 13)

Does your child have any additional needs we should be aware of?

For example learning difficulties, medical conditions, allergies etc.

Parent Name

First Name

Last Name