booking form for toddler time

Learning and Development Projects (LDP)

PROJECTS
- Malta Breastfeeding Project (LDP) >
  - Tell us
CONTACT US
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.

Submit

Create your own unique website with customizable templates.