Holiday Homework Booklet Order Form
(To be completed by the parent/guardian)

After completing this form, please click the 'Send' icon.
Please type the name(s) of student(s) studying in Bloomfield Hall in the box(es) below.
Student Name (1): No. of booklets:
Student Name (2): No. of booklets:
Student Name (3): No. of booklets:
Student Name (4): No. of booklets:
                                      Total no. of booklets ordered =
  Amount payable = Rs

I, the parent/guardian of the above named child(ren), want the school to book an order of the above stated number of printed holiday homework booklet(s). I have been informed that I will be charged Rs 130 per booklet ordered.

Please type your full name and contact number below.
Name*:
Contact Number*: