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?
[radio* immunisations label_first default:1 "Yes" "No"]

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

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

A non-refundable registration fee of £25 paid by cash, cheque, card or bank transfer is required to secure the place.
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 agree to comply with the Regulations, Terms and Conditions of Ashbridge School and Nursery Ltd.
I/We have read, understood and completed all the details set out in this enrolment form as required at registration and attach a copy of my/our child's Birth Certificate.


YesNo

YesNo

What’s Happening?

ashbridgeschool

- 5 hours ago

@headatashbridge: The question in Y2 is... how many pompoms, googly eyes and pipe cleaners does it take to decorate a Macmillan cup? The answer is A LOT!!! https://t.co/ogXwsXOCSx
h J R
ashbridgeschool

- 6 hours ago

@mrs_livesey: Inspired by 'Bloom' by @Bridgeanne, Year 4 have been drawing flowers in bloom and wilted flowers then writing what makes them happy and what makes them sad #PDP #wellbeing #mindfulness https://t.co/xkVlXdRSlg
h J R
ashbridgeschool

- 11 hours ago

@fledglings40: Woodpeckers have been exploring the world of colour! On our walk we found purple flowers, multicoloured leaves, green 'noses' and we even showed off our white teeth when sharing our biggest smiles! https://t.co/SGu2A0ECeG
h J R
ashbridgeschool

- 11 hours ago

@_MrsHartley: We are very excited @ashbridgeschool for the Reading is Magic Festival! What a super line up of digital events for us to enjoy! @bathkidslitfest https://t.co/wwWEmtEMKm
h J R