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Club Registration

To book a place at the club:

1) Please download and complete the registration form below and post it (if paying with cheque/postal order) to us along with the £50.00 registration fee.

2)You can also register online using our registration form below.

Once we have received your registartion you will receive a confirmation email. The email will contain your child's registration number, and a request for payment of the registration fee.

Registration fees and club session fees can be paid in the following 4 ways:

1) In cash at your child's first session at the club along with the session fee.
2) By posting a cheque/postal orders.
3) By bank transfer.
4) Online via paypal.

Once you have received your club registration number you will be able to book club sessions by phone, email or by using the online booking form.


Registration forms should be addressed to:
Brilliant & Brighter Futures Limited
74 Chiltern House
Beaconsfield Road
Edmonton
London N9 0ED

Cheque/postal order payment should be made out to: Brilliant Brighter Future Ltd.

Click here to download the club registration form.

Before registering please click here and read the parents contract.

ONLINE CLUB REGISTRATION FORM

CHILD / YOUNG PERSON'S DETAILS

First Name:

 * required

Surname:

 * required

What s/he likes to be called:

Date of Birth:

 * required

Current Age:

Child’s Gender:

School attended:

Key worker’s name (if applicable):

Child’s Nationality:

 * required

Child’s Religion:

 * required

PARENT / GUARDIAN DETAILS (please inform us if either parent does not have legal parental responsibility)

Title:

 * required

Title:

First Name:

 * required

First Name:

Surname:

 * required

Surname:

Home Address:

Home Address:

Work Address:

Work Address:

Home Telephone Number:

 * required

Home Telephone Number:

Mobile Number:

Mobile Number:

Work Number:

Work Number:

Email Address:

 * required

Email Address:

ALTERNATIVE EMERGENCY CONTACT INFORMATION (please provide details of two people we can contact if we are unable to get hold of you)

Full Name:

 * required

Full Name:

 * required

Address:

Address:

Telephone Number:

 * required

Telephone Number:

 * required

Mobile Number:

Mobile Number:

Relationship to the child:

 * required

Relationship to the child:

 * required

DETAILS OF CHILD'S DOCTOR

Name of Doctor:

 * required

Address:

Telephone number:

 * required

ABOUT YOUR CHILD

Please detail any additional/special needs your child has: (please provide full details)

Please detail any dietary requirements/ food allergies for your child: (please provide full details)

Is there anything your child doesn’t like (food, games etc) or is scared of:

Please list the full names of all people you give permission to collect your child from the club:

Do you give us permission to allow your child to leave the club premises unaccompanied (in the case of older children):

 
   

DECLARATION

I agree to Brilliant & Brighter Futures Limited processing personal data contained in this form, or other data that Brilliant & Brighter Futures Limited may obtain from other people or me whilst my child is registered.

I agree to the processing of such data for any purpose connected with my child or my child’s health and safety whilst on the premises or for any other legitimate reason.

I declare that I have read, understand and agree to abide by the Club rules listed it the 'Parents Contract' section.

The information I have given is true to the best of my knowledge. I agree to abide by the Club rules as published and to pay all fees by the due dates. I further declare that I have no outstanding debt to the Club.

How do you wish to pay the £50 registration fee?

By pressing submit you agree with the above declaration and to all terms and conditions which may be modified at any time without notice. By pressing submit you will be registered with Brilliant & Brighter Futures Limited Supplementary Education Club.