Registrations will be posted the week prior to the Playscheme week.

Leyland Playscheme Booking Form

Please note that this form is NOT for Samlesbury scheme
Please contact Samlesbury on 01254 765085 for Samlesbury

Step 1 of 4

Parent/Guardian Details
Title
First Name
Surname
Address
Postcode
Home Phone
Daytime Phone
Mobile Phone
Email
Alternative Emergency Contact
   
How did you hear about the Playscheme?


Booking Details
Normal Playscheme Places
Teenz Playscheme Places



 Red fields MUST be completed     Grey fields should be completed if possible 


To recover an existing booking click here
© 2017 - Leyland Play Scheme, PO Box 101, Leyland, PR25 3WA.
Tel: 07014 22 3456 / 0870 879 8456 Fax: 08717 333389 EMail: [email protected]
Registered Charity No: 514978 - Refund Policy