CHILD NAME(S)
_____________________________________________________________________________

PARENT/GUARDIAN NAME
_____________________________________________________________________________

PHONE NUMBER
_____________________________________________________________________________

EMAIL
_____________________________________________________________________________

(Please include your email so we can send you your email receipt and extra information about the week)
Please detail any illness/allergy/SEN/other you think we should know about your child;









Circle Payment(s) enclosed; £112(standard price) £96(Paid before 15th July) £80(added sibling(s))

Circle Payment Method(s) Cash Cheque


Please make cheques payable to Lily Levin and send to 25 Mathews Park Avenue E15 4AE along with your completed booking form.
For enquiries call Lily Levin on 07836264859
Or Email lpglevin@gmail.com

If you would prefer, send bank transfers to

Lily Levin - Sort Code: 60 12 35 Account Number: 32701748

with your name as the reference.

If you are doing a bank transfer please don't forget to email me the booking form as well.