NAME

Feb HT 16th - 20th Feb: Easter 6th-9th; 13th-17th Apr

Phone No

May HT 26th - 30th May

Have you used Shere Fun before?

Yes

No

Summer 27th - 31st July: 3rd - 7th Aug: 10th - 14th Aug:

Child's Name 1

17th - 21st Aug: October HT 26th - 30th Oct

Date

Day

Early Start 0830 to 0900

Standard Hours (0900 to 1600)

Y/N

£2.00

Start Time

End Time

Hours

Rate (£)

Cost (£)

Feb HT

16-Feb

Mon

17-Feb

Tues

18-Feb

Wed

19-Feb

Thurs

20-Feb

Fri

Easter

06-Apr

Mon

07-Apr

Tues

08-Apr

Wed

09-Apr

Thurs

14-Apr

Tues

15-Apr

Wed

16-Apr

Thurs

17-Apr

Fri

May HT

26-May

Tues

27-May

Wed

28-May

Thurs

29-May

Fri

Summer

27-Jul

Mon

28-Jul

Tues

29-Jul

Wed

30-Jul

Thurs

31-Jul

Fri

03-Aug

Mon

04-Aug

Tues

05-Aug

Wed

06-Aug

Thurs

07-Aug

Fri

10-Aug

Mon

11-Aug

Tues

12-Aug

Wed

13-Aug

Thurs

14-Aug

Fri

17-Aug

Mon

18-Aug

Tues

19-Aug

Wed

20-Aug

Thurs

21-Aug

Fri

Oct HT

26-Oct

Mon

27-Oct

Tues

28-Oct

Wed

29-Oct

Thurs

30-Oct

Fri

Total Cost

£

This advanced booking will ensure your child's place is reserved for the dates specified (subject to places being available).

Once the program of events has been finalised for each playscheme, this will then be sent out to allow you to then

choose any extras (e.g. Ten Pin Bowling, Craggy Island Climbing etc.)

Please complete and send the form & cheque payable to "Shere Fun to the address below:

Emma Alexander, 2, Monks Cottages, Queen Street, Gomshall, Surrey GU5 9LU

Hourly Rates Standard Rate = £3.50 : Sibling Rate = £2.75 : Early Rate (0830 to 0900) = £2.00 : Five Days = £112.50