The Den Wraparound Care Registration Form

SESSIONS AVAILABLE

Breakfast Club sessions are - 7.45 - 8 am arrival - £4.50

8 - 8.30 am arrival - £4.00

After School Club - 3.15 - 4.45 pm - £6.00

3.15 - 6.00 pm - £15.00

Prices are per child/per session.

A 10% sibling discount is applied to charges after they have been taken and added direct to your parent pay accounts.

Please complete all sections of the registration form as indicated.

TO BOOK SESSIONS PLEASE VISIT PARENT PAY AND BOOK VIA THE BOOKABLE EVENTS OR PAYMENT ITEM AREA.

Please consider your booking carefully. Bookings may be changed within 24 hours prior to your session by amending your own booking on Parent Pay. No changes can be made less than 24 hours full charge will be made if non attendance.

REGISTRATION FORM

1st Child

First NameLast Name

2nd Child

First NameLast Name

3rd Child

First NameLast Name

Parent Name

First NameLast Name

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

Medical Information

Please provide us with any relevant medical information such as dietary, allergies, medical conditions we should be aware of. PLEASE NOTE: THE SCHOOLS NORMAL PROCEDURES FOR THE ADMINISTRATION OF MEDICINE OR FIRST AID APPLIES AT BEFORE & AFTER SCHOOL CLUB.

Emergency Contacts

WE REQUIRE AT LEAST 2 ALTERNATIVE CONTACT NUMBERS

Consent

I confirm all consents given in school regarding medical treatement, internet use and photographs applies to Before & After School Club.I confirm I have read that all the school's safeguarding, behaviour, equal opportunities and health & safety policies apply at Before & After School Club.

I confirm I am aware of the 24 hours minimum notice for cancellation policy and I am aware that if my child's place is cancelled with less than 24 hours notice charges will still apply

YESNO

I am aware my Parent Pay accounts must be kept in credit at all times and if debts are not cleared my places at club will be withdrawn.

YESNO

My preferred method of payment is:-

Parent PayChildcare voucher

My childcare voucher provider is:-

Booking Conditions 1). No refunds are available unless the places or sessions are cancelled at least 24 hours. 2). All school policies and procedures are in place during holiday club including those regarding behaviour. 3). A £15 per 15 minutes late collection fee will apply if your child is collected after the end of the session time booked. 4). FOOD IS NOT PROVIDED AT CLUB SO PLEASE ENSURE YOUR CHILD HAS THE RELEVANT SNACKS WITH THEM IN A NAMED BAG OR LUNCH BOX WHEN THEY ATTEND 5). If my account is in debt balance I understand my place will be removed until the account is in credit. I confirm I have read the above conditions.

Please read and confirm you have understood the booking conditions for holiday club.