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Self-sufficient

Original

Attitude

Resilience

Champs enquiry form

Child's Name* Child's Date of Birth (DD/MM/YYYY)* Your Name* Your email address* Your contact number* Your relationship to the child*

Breakfast Sessions (Type 'Yes' into your desired timeslots and days into the section below)
	7.30am-8.45am	7.45am-8.45am
Monday
Tuesday
Wednesday
Thursday
Friday

Afternoon Sessions (Type 'Yes' into your desired timeslots and days into the section below)
	3.30pm-4.30pm	3.30pm-5pm	3.30pm-5.30pm	3.30pm-6pm
Monday
Tuesday
Wednesday
Thursday
Friday

When would you like your child to start? (DD/MM/YYYY)* Anything else you would like us to know?*

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