Learning and Development Projects (LDP)
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Malta Breastfeeding Project (LDP)
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Bright Sparks Malta Early Child Care Centre
BOOKING FORM FOR TODDLER TIME
Please note that fields that are marked are required.
Name and surname of first child
*
First
Last
Name and surname of second child
*
First
Last
Name and surname of third child
*
First
Last
Name and surname of parents or legal guardian
*
ID number of both parents or guardian (or passport number if non-MALTA resident)
*
Residence address
*
Landline HOME telephone number with country prefix if necessary
*
Landline WORK telephone number with country prefix if necessary
*
Mobile numbers of both parents
*
Email home
*
Email mother work
*
Email father work
*
Choose programme term
*
Toddler Time January - March 2012
Toddler Time April - June 2012
Toddler Time October - December 2012
Choose days for each week ( at least 2 days)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Choose amount of hours weekly and related payment for 3 month term
*
9am - 1pm x 2 days = 8 hours x 12 weeks = 92 hrs = Eur 184.00
9am - 1pm x 3 days = 12 hours x 12 weeks = 144 hrs = Eur 288.00
9am - 1pm x 4 days = 16 hours x 12 weeks = 192 hrs = Eur 384.00
9am - 1pm x 5 days = 20 hours x 12 weeks = 240 hrs = Eur 480.00
I need different hours than above
Please state the hours you need, if not listed above, according to the days you marked
*
Please state whether you are paying by
*
Cheque
Cash
Direct payment online
If required fields are not all filled we regret that we cannot accept the booking.
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