The Farmyard Club
Holiday Booking Form
I confirm my booking for ...............................................................................................................................
For the month of ...............................................................................................................................................
Please complete the table below with the days and times you require:
Week
commencing
MON
Option
A
7.30am-6pm
B
9am-5pm
C
9am-3pm
D
9am-1pm
E
1pm-5pm
F
Extra hours
TUES
WEDS
THURS
FRI
£25.00
£21.00
£16.00
£11.00
£11.00
£3.25
Payment summary
...........................
...........................
...........................
...........................
...........................
...........................
A @ £25.00
B @ £21.00
C @ £16.00
D @ £11.00
E @ £11.00
F @ £3.25
= £ .................
= £ .................
= £ .................
= £ .................
= £ .................
= £ .................
Total due
= £ .................
Payment details
Method of payment .......................................
Name of voucher scheme............................................
Reference name/number ..............................
Date of transaction .....................................................
Amount.......................................................
Bank details; Barclays CR & DT Mace T/A Manor Farm Nursery sort code 20-90-91 AC NO 40017086
Terms- We cannot take responsibility for any payment not transferred from your voucher company or bank. Therefore if we are
unable to identify that your payment has been received into the nursery account, it is then your responsibility to replace this
payment by either cheque or cash.
All fees are due monthly in advance on or before the 16th of the preceding month. If you choose to book after this date or at
short notice please add 5% of the total to your bill. Under the terms and conditions of the nursery refunds cannot be made for any
cancellations.
I confirm that I accept the terms of this booking
Name .................................................................
Signature .......................................................................
Date ............................................................
As part of our partnership with parents/carers we always welcome your comments and ideas, so we have added a comment slip to the
monthly booking form for your use:
................................................................................................................................................................................................................................................................
Comments/suggestions
The Manor Farm Estate, Burford Road, Lechlade, Glos, GL7 3EX. Telephone 01367 250000 / 07760788081