Name of child:



(1) Class
e.g. 7YA

(2) Which clubs / activities does your child
already attend on the school site?
(before / lunchtime / after school)

(3) Which clubs or groups dose your child attend elsewhere
during the evenings, weekends, and holidays?
(swimming, brownies, football, judo & other after school clubs)

(4) Which other activities would your child be interested
in - whether or not they are already available?

(5) Which holiday time activities would your child like?
scale 1 to 10 with 1 being lowest


(6) Are there any reasons why your child does not attend
out of school activities?
(e.g. transport, cost, care of other children)

(7) Do you have any other comments or ideas about out of
school activities that you would like to share with us?

(8) Please provide your name:

(9) Please provide your postcode:

Thank You