Holiday Care Enrolment Form


    MaleFemale

    PERSONAL INFORMATION

    (Please include details of ethnic background and if English is an additional language, please state what is the first spoken language and details of any other languages spoken.)

    MEDICAL INFORMATION



    2. Details of Medical Condition, Disabilities, Allergies etc:

    3. Are all standard immunisations up to date?
    YesNo

    4. Special requirements regarding food (Please state reason on medical condition or religious grounds only):

    *Please note that Allergen information is available on request.

    CONTACT INFORMATION

    (Please include name, address and ALL appropriate telephone numbers (landline & mobile) and email addresses and ensure all contacts consent to their personal details being shared with us.)

    PARENT/GUARDIAN 1



    YesNo

    PARENT/GUARDIAN 2



    YesNo

    THIRD CONTACT



    YesNo

    DESIGNATED BILL PAYER

    SELECT BILL PAYER

    Parent/Guardian 1Parent/Guardian 2Other
    If Other:

    I/WE REQUEST A PLACE FOR MY/OUR CHILD TO ATTEND HOLIDAY CARE AND UNDERSTAND THAT:

    Fees are due and payable in advance.
    Notice of cancellation of booking is requested in writing or full fees will be payable.
    Ashbridge reserve the right to change or amend regulations, policies and procedures as necessary. A fee review also takes place annually.
    I/we give permission for staff to call for emergency assistance or take my/our child to hospital if necessary.
    I/we understand that access to the following policies, procedures and protocols is available through the company website or as hard copy on request: Admissions, Behaviour, Exclusion, SEN, EAL, Curriculum, Anti-Bullying, Health and Safety, First Aid, Complaints and Privacy Notice. In addition, the latest inspection reports are also available.
    I/We confirm that we have read and understood the contents of the School Enrolment Form and the Terms and Conditions.
    I/We agree to be bound by the Terms and Conditions which consist of this School Enrolment Form, the Terms and Conditions available on the website, and any of the school’s policies and procedures which are in place from time to time.
    I/We confirm that they details set out in this School Enrolment Form are true and accurate in all respects.
    I/We will provide the school with a copy of the child’s birth certificate.
    I/We give permission to the school, its employees and agents to share information relating to my/our child with Children’s Social Care and other agencies responsible for protecting children as the school deems appropriate.


    YesNo

    YesNo

    What’s Happening?

    Something went wrong with the twitter.