SupERkids Membership Application Form

SupERkids Membership Application Form

We are delighted to welcome you to our membership scheme. Please complete the form below to join SupERkids and access our clubs and family activities.
Child's Name*

First NameLast Name
Child's Date of Birth*

DayMonthYear
Date
Child's Residential Address*

Street Address

Street Address Line 2
CityState / ProvincePost Code
Child's School
Parent / Carer's Name

First NameLast Name
Parent / Carer's Email Address*
example@example.com
Parent / Carer's Phone Number*
Please enter a valid phone number.
Membership Type*
Emergency Contact Name - please add an additional adult's contact details*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number
We would love to offer your child a free SupERkids T-shirt when you join our new membership scheme! Please indicate your child's size below:
T-shirt Size
Payment Method

Please set up a monthly Standing Order with your bank. This can be cancelled at any time should you wish to cease membership of SupERkids

Standing Order to be made payable to:

Super Kids

Sort Code: 87-37-32

Account Number: 78671360

Reference: please use your child's full name as reference

*** Please ensure you make a note of these details before submitting your application
I have already completed the SupERkids Photo and Video Consent Form for my child in the past 12 months

YesNoUnsure
I would like to be kept updated about SupERkids clubs and family events via email

YesNo
*Terms and conditions of membership

This membership entitles your SupERkid access to all unsupported family fun days. No pre registration or additional payment is required. By applying for membership you agree to supervise all children under your care at all times whilst attending SupERkids family fun events. You agree that you are solely responsible for the supervision of the children in your care for the duration of your visit to any unsupported SupERkids event.

This membership entitles your SupERkid access to all supported clubs for which they are already registered with the Inclusive Support Team of East Renfrewshire Council. No additional payment is required. Places at our weeknight and weekend term time clubs are strictly limited. If your child is registered with Inclusive Support you will be contacted by email with details of these clubs and invited to request a place. SupERkids does not allocate places at supported clubs staffed by the Inclusive Support Team. If your child is not already with Inclusive Support please contact them to register.

This membership entitles your SupERtot access to all SupERtots events. SupERtots is for children of preschool age. No preregistration or additional payment is required. Your SupERtot must be accompanied by a parent or carer at all times whilst attending one of our family fun events. By applying for membership of SupERkids, you agree that you are solely responsible for the supervision of the children in your care for the duration of your visit to any SupERtots event.

Outings or holidays such as Calvert Kielder may be subject to additional charge.

SupERkids is a Scottish Charitable Incorporated Organisation (SCO49656)
I agree to the terms and conditions of membership.*

I agree
Parent/Carer's Signature
Date

DayMonthYear
Date
Should be Empty:

SupERkids Membership Application Form

Payment Method

*Terms and conditions of membership