Griffithstown Primary School
"Inspire, Challenge, Achieve"
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Contact Us
After School Club
Registered Person: Mrs A Instone
Telephone: 07940454060
Email: griffithstownasc@hotmail.com
Name Of Child
Gender
Date Of Birth
Home Address
Home Telephone
Email
Emergency Contact Details
Name Of Adult
Relationship To Child
Home Telephone
Mobile Number
2nd Contact
Name Of Adult
Relationship To Child
Home Telephone
Mobile Number
3rd Contact
Name Of Adult
Relationship To Child
Home Telephone
Mobile Number
4th Contact
Name Of Adult
Relationship To Child
Home Telephone
Mobile Number
Children must only be collected by adults from the (above) emergency contact details.
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