Please complete the form below to book your place;
Please select your venue* ---Aston Leisure Centre
Select the week you would like to attend* (you must be available to attend all days):
Monday 20th December - Thursday 23rd December, 10am-2pm
Child full name*
Gender* FemaleMaleOtherPrefer Not To Say
If you have selected other, please specify*
Child date of birth*
Child ethnicity*
School Name*
Please enter the unique reference number (URN) provided by your child's school to access your free place* (Your place will NOT be confirmed until an accurate URN is provided)
_____
Parent name*
House number & street*
Address line 1*
Town/City*
Postcode*
Parent contact number*
Parent Email*
Emergency contact name*
Emergency contact number*
Does your child have any disabilities* YesNo
If yes, please provide further details
Does your child have any food allergies/dietary requirements* YesNo
Please select your child's meal option(s) below;
Monday (Served with Garlic bread, peas & Sweetcorn and Flapjack) ---Pasta BolognaiseQuorn Pasta Bolognaise
Tuesday (Served with Creamed Potatoes, Peas & Carrots and Oaty Biscuit) ---Cottage PieQuorn Cottage Pie
Wednesday (Served with Potato Wedges, Peas & Sweetcorn and Plain Iced Bun) ---Cheese & Tomato PizzaJacket Potato (Tuna Mayo)
Thursday (Served with Chips, Carrots & sweetcorn and Plain Iced Sponge) ---Fish FingersQuorn Burger
Photo consent: YesNo
YesI have read and accept the terms outlined in the Privacy Policy