NEW CHILD ENROLMENT 2025 / 2026

NEW CHILD ENROLMENT 2025 / 2026

Stortford KidsOut - you only need to complete this form for NEW child/ren
Did you apply last year?*

YESNO
Have you used the club in the past?*

YESNO
CHILD DETAILS
HOME LANGUAGE*
SCHOOL*
CHILD 1 NAME*

First NameLast Name
DOB*

MonthDayYear
Date
What are your child's favourite activities outside school / at home
CHILD 2 NAME

First NameLast Name
DOB

MonthDayYear
Date
What are your child's favourite activities outside school / at home
CHILD 3 NAME

First NameLast Name
DOB

MonthDayYear
Date
What are your child's favourite activities outside school / at home
PASSWORD for COLLECTION

Alternative Emergency Contacts

We are now required under NEW Regulations to hold TWO Emergency Contacts. At least ONE of the contacts MUST be someone local (friend, relative or neighbour) who we can contact in an emergency when we are unable to contact you You can name yourself or your partner as the 1st Emergency Contact.
EMERGENCY CONTACT 1
NAME*

First NameLast Name
ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
RELATIONSHIP TO CHILD*
MOBILE / PHONE NUMBER*

Area CodePhone Number
PASSWORD to be used for EMERGENCY USE only blanks . [Please choose a different password to your own. Make sure this person knows the PASSWORD you have entered here. We will not be able to make contact without them knowing THIS PASSWORD]

EMERGENCY CONTACT 2
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
RELATIONSHIP TO CHILD*
Phone Number

Area CodePhone Number
PASSWORD to be used for EMERGENCY USE only blanks . [Please choose a different password to your own. Make sure this person knows the PASSWORD you have entered here. We will not be able to make contact without them knowing THIS PASSWORD]

Tell us more about your child

This information will allow us to meet their needs and plan resources effectively
Does / will your child require learning support in school? (SEND)*

YESNO
If 'YES' please provide further details
Does your child have a visual / hearing / communication / physical impairment?*

YESNO
If 'YES' please provide further details
Is there anything your child doesn't like or is scared of?*

YESNO
If 'YES' please provide further details

Parent Agreement / Enrolment Fee

You are not required to pay an Enrolment Fee at the time of applying for a place
Please do not pay an ENROLMENT fee until you receive confirmation of a place.

By completing and submitting this form you are requesting to enrol a place at Stortford KidsOut. When a place is offered, it is guaranteed for the period of time you selected (see below)

Please make sure you complete a Medical Form and a Term Time Booking Form for 2025/2026. Your booking cannot be confirmed without all 3 forms completed

Privacy Notice
Summercroft Enrolments are for a full year £20. We do not offer two or one term enrolments, even if your child is starting part-way through the year.

All other Enrolment options are available at Birchanger for 2025 / 2026
What Enrolment Guarantee do you wish to secure?

All Year £20 (3 Terms)Autumn 2025 & Spring 2026 (£15)Spring 2026 & Summer 2026 (£15)Autumn 2025 & Summer 2026 (£15)Autumn 2025 Only (£10)Spring 2026 Only (£10)Summer 2026 Only (£10)

Alternative Emergency Contacts