Clone of MIN: Agreement Form

OSC Agreement Form
Out of School Care Agreement Form

By signing and submitting this form, you are officially accepting the place offered to your child at our Out of School Care Provision. This action confirms your agreement to all the terms and conditions detailed within it, establishing a contract between you and us
Today's date

DayMonthYear
Date
YYYYMMDD
Which nursery are you completing this Agreement Form for?*
Setting
Nursery name

Your name

First NameLast Name
Your email address
example@example.com

What is your child's first name?
What is your child's surname?
What is your child's date of birth?

DayMonthYear
Date

When is your child's starting their Out of School Care?

DayMonthYear
Date

Will you be responsible for paying 100% of the fees?
Please provide the names of all bill payers and specify the percentage of the fees each will be responsible for. Add more bill payers as required by clicking "Add Row"

I have read, understood and accepted the Terms and Conditions
Is there is anything else you would like us to know?
Please provide any details here

Declaration
I understand the latest version of the Terms and Conditions are available to view on the website
I consent to my data being used and held in accordance with the privacy policy
Please sign here
Sender
Nursery email
example@example.com
Nursery email 2
example@example.com
Sender email
Age as of today (years)
Age as of today (months)
Age at start date (years)
Age at start date (months)
Name of form
Should be Empty: