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NorthboroughPrimary School

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Universal Breakfast Club Booking

Universal Breakfast Club Booking

Please enter your child's full name*

Please enter your child's year*FoundationYear 1Year 2Year 3Year 4Year 5Year 6

Please select the days of the week your child needs to attend*TuesdayWednesdayThursdayFriday

Emergency contact name & relationship to child* Emergency contacts number* IS YOUR CHILD ALLERGIC/ INTOLERANT TO ANY FOOD ITEMS (nuts, dairy, flour etc). If YES please detail below* Is medication required (E.G. Epipen) If YES, please detail below*

Does your child have any of the following medication conditions? Please tick all that apply*No medical conditionsAsthmaHayfeverEczemaDiabetesEpilepsy

Any other information you would like to share with Universal Breakfast Club team

Virtual Office

Universal Breakfast Club Booking

NorthboroughPrimary School

Address

Church Street, Northborough, Peterborough, PE6 9BN, United Kingdom

Email office@northborough.peterborough.sch.uk

Telephone 01733 252204

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