Your Name (required)

Your Child's Name (required)

Child's Date of Birth YYYY-MM-DD (required)

Address (required)

Home phone number (required)

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I would like to book onto the After School class at
Kings Hawford school Monday 5pm MiaKings Hawford school Monday 5:30pm MiaKings Hawford school Monday 6pm MiaKings Hawford school Wednesday 5pm MiaKings Hawford school Wednesday 5:30pm MiaKings Hawford school Wednesday 6pm MiaKings Hawford school Thursday 5pm MiaKings Hawford school Thursday 5:30pm MiaKings Hawford school Thursday 5pm GemmaKings Hawford school Thursday 5:30pm GemmaNew College Worcester Friday 4pm GemmaNew College Worcester Friday 4:30pm GemmaNew College Worcester Friday 4pm EricNew College Worcester Friday 4:30pm EricNew College Worcester Friday 4pm JaniceNew College Worcester Friday 4:30pm JaniceKing Charles 1st School Tuesday 4pm SueKing Charles 1st School Tuesday 4:30pm Sue

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*You may opt out at a later date by contacting Little Dolphins.

Your information is NOT passed on to any 3rd party!
Little Dolphin teachers will have registers of their classes which will have your name, child’s name and your contact number incase the pool is closed.

If you have any questions please do not hesitate to contact us.