Childcare - Afternoon drop off Is this the first time that you are applying for this service?*YesNoName of parent/guardian filling up the form* First Last ID of parent/guardian filling up the form*Contact number of parent/guardian filling up the form*Email* Name of child* First Last Date of Birth of child*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920ID number of child*Location*Select LocationUniversity CampusIlwien Childcare Centre (For children attending Il-Perla Kindergarten ONLY)Describe any specific health conditions or physical impairment about which we should be informedThis also includes if your child is being assessed by CDAU or being followed by a professional.Booking for the month of*Select MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberPrice per afternoonNumber of afternoons the child will be attending the Afternoon Drop off Service at Tajra during the month selected*€6 per afternoonEnter the dates of the afternoons the child will be attending the Afternoon Drop off Service* Cancellation/ Refund Policy Payments for missed sessions cannot be refunded, unless a medical certificate covering the missed days is presented. In the case of illness covered by a medical certificate, the booked hours will be carried forward.Total € 0.00