Registration Form 2018
Email address *
Privacy Notice - JK Link Clubs Ltd may be required to share this information (with other professionals working with the child; the police; social services; OFSTED, as appropriate) to ensure the safe and efficient management of the setting and to help ensure the needs of all children are met. The Club will enable a regular two-way flow of information with parents/carers, and between other providers, such as childminders and school. We are required to store child's records and parental information for 25 years from DOB. Any complaints regarding a breach of this data usage can be reported to the Information Commissioners Office on 0303 123 1113. The email address collected on this form will be used for invoices and correspondence. *
Please Indicate which service(s) you are requesting: *
Required
Childs Details
Please complete one form per child
Childs current class *
Childs Forname(s), Middle Name(s), Surname *
Your answer
Preferred name to be called
Your answer
DOB *
*DD/MM/YYYY*
Your answer
Sex *
Address of Child, including post code *
Your answer
Doctors Details, including address & phone number *
Your answer
Does your child have any allergies? If yes, please also fill in an Allergy/Health form (available on our website) *
Required
Treatment; Please note any treatment such as medication will require a medication form to be completed.
Your answer
Does your child have any Major Dislikes? *
Required
Does your child have any Additional Needs? If yes, please also fill in an SEN form/Allergy/Health form as required (available on our website) *
Required
Any additional information you wish to give us regarding the above?
Your answer
Vaccinations *
Required
Parent/Guardian Details
Parent/Guardian Full Name *
Your answer
Parent/Guardian Full Name *
Your answer
Do the above person(s) have parental responsibility? *
Required
Do the Guardians, named above, have the same address as the child's mentioned above? *
Name of the person(s) responsible for payment of childcare fee's: *
Your answer
Contact Numbers
Please give as many contacts as you feel we will need.
Parents/Guardians Phone numbers: *
Your answer
Parents/Guardians Phone numbers: *
Your answer
Permission for others to collect/Emergency Contacts: Please include Name, Relationship to child and contact number *
Your answer
Permission for others to collect/Emergency Contacts: Please include Name, Relationship to child and contact number *
Your answer
Permission for others to collect/Emergency Contacts: Please include Name, Relationship to child and contact number *
Your answer
Permission Forms
Some activities may include visits to the park & nearby attractions just outside the school grounds. By ticking Yes you are giving your consent to such trips. *
We are governed by OFSTED who require us to allow the children the choice to play out in any weather. By ticking Yes below you are giving your consent to the children playing out in all weathers (suitable clothing must be worn). *
In sunny weather, to protect your child from the UV Rays we may find it necessary to apply sunscreen to your child if they are unable to do so themselves. By ticking Yes below you are consenting to the use of sunscreen (please state if your child is allergic to sunscreen above) and the application by a member of staff. *
I consent to any medical emergency treatment/advice and allow a playworker to sign any form of consent required by a hospital authority if the delay in getting my signature is considered, by the doctor, a Health & Safety risk. *
Our Policies and Procedures are available to view Online at www.jklinkclubsltd.co.uk, this is updated regularly. By ticking Yes you are declaring that you have read our policies and procedures and agree to abide by the procedures within, you will also be agreeing to keep yourself up to date with any changes in the document and that when cancelling a place, one calendar month's notice will be given. *
Occasionally we may use materials such as face paints, glitter tattoo’s, make-up and nail varnish. *
Permission to use games for the computer systems for ages 3-7 years old. *
We may have dvd’s/media available to watch. By ticking “Yes” you are consenting to your child being able to view material that is classed as a U & PG’s. *
Sharing and gaining relevant information about your child and their development with/from relevant professionals i.e School, Preschool, health care providers, other play schemes and such like. *
Photo permission
During your child's time in JK Link Clubs Ltd we may take photo’s of your children. These photos could be used for numerous reasons:
Evidence for OFSTED & Reception teacher of children's learning, this will be in the form of a scrap book held on site at the Link Club and Holiday Club and will individual and group shots of the children whilst in the setting. *
Display purposes in our settings walls/notice boards and to give to the people named on this form. *
Group photos of activities may also taken so your child may be in the background of another child's photo. *
For use on our company website & business pages on social media to show others what activities we do. Names will not be included on these pictures. *
Declaration and Signatures
By e-signing this, you declare that you are who you say you are and if both signatures are applied, that you have permission from the second party to do so.
I declare that the information on this form is true to the best of my knowledge and that the ticks on this form were performed by myself and show my acceptance or decline of the statement above it. *
Signed: Both Legal Guardians if applicable. *
Your answer
Is there anything else you wish to mention to us? Any concerns or Questions?
Your answer
Is your child new to our Link Clubs *
Please email Davina Ramsdale at jklinkclubsltd@me.com to book your sessions with us and an induction if you have answered YES to the previous question
Your answer
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