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 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.


    YesNo

    YesNo

    What’s Happening?

    ashbridgeschool

    - 1 day ago

    @mrs_livesey: We hope everyone in Years 3 and 4 enjoy their well deserved sleep tonight! @HodgsonAdele https://t.co/vz1t1e8hX7
    h J R
    ashbridgeschool

    - 1 day ago

    @HodgsonAdele: Well done to all of Year 3 and 4! You challenged and pushed yourselves to achieve great things over the last two days! You should be proud, I know we are! Have a lovely well earned rest! @ashbridgeschool @mrs_livesey
    h J R
    ashbridgeschool

    - 1 day ago

    @headatashbridge: It has been an absolute pleasure to accompany Year 3 and 4 on their adventure to Rock and River. A super two days were had by all. Well done everyone. https://t.co/wyiYb0OKVU
    h J R
    ashbridgeschool

    - 1 day ago

    @mrs_livesey: Den building to end our Rock and River experience. Well done to all the children for their excellent attitude to all their activities. You've done me and Mrs Palmer proud! @HodgsonAdele https://t.co/RM5ayFndIR
    h J R
    ashbridgeschool

    - 1 day ago

    @headatashbridge: I hope you enjoy looking through the exercise books the children have brought home in preparation for parent/teacher meetings next week. They have worked really hard. Please could you help them to remember to bring them back on Monday thank you.
    h J R