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

    - 2 hours ago

    @ashbridgeyear2: Thank you @ArthurWood4 for ensuring that the class knew how to safely ignite and extinguish a fire and for allowing this fantastic lesson to happen. https://t.co/XngxL27Boa
    h J R
    ashbridgeschool

    - 2 hours ago

    @ashbridgeyear2: Year 2 had a wonderful opportunity to use their Tudor houses to create their very own Pudding Lane. Just like the original fire in 1666, ours started in the bakery of Thomas Farriner 🔥 https://t.co/ySchxN8GTx
    h J R
    ashbridgeschool

    - 2 hours ago

    @AshbridgeMaxy: Buttercups enjoyed a lovely walk up to the atelier this morning to explore the role play area #buttercups #roleplay #earlyyears #exploring #childled https://t.co/Tkr5RROyzK
    h J R
    ashbridgeschool

    - 4 hours ago

    @cuerdengarden: Well done Year 1! Your hard work in your research homework has been very useful for making our own Africa-based books🦒🐘🗺 https://t.co/Wh5wRpXQZX
    h J R
    ashbridgeschool

    - 20 hours ago

    @AshbridgeMaxy: Daffodils are very excited enjoying a puppet show meeting Cyril the squirrel, Bob the bear and Pinky the pig. #maxyfarm #daffodils #puppetshow #funwithfriends https://t.co/h8AeDN9Oiz
    h J R