Bentham Holiday Playscheme – Booking Summer 2016 –

For Children In School Year 1 Until Their 15th Birthday

A warm welcome! If you have any questions or require any assistance, please call us on 01452 864157 Mon – Fri (before 6pm please). Places must be booked and paid for in advance by either using this form or alternatively, you can call us with your booking details and make payment with a credit/debit card.

Attendance Age – Our registration with Ofsted, specificallythe Childcare Register, requires children to have reached school Year One. This means that to attend this summer, children must be born on or before31st Aug 2010.

Registration Form – To help ensure the best possible care for your child and compliance with Ofsted & statutory requirements, we require a completed Registration Form for all children who attend. In addition to first time attendees, existing members are required to complete a new form for Summer 2016. Registration Forms can be downloaded from our website

Booking Form Instructions - Please complete child and parent details below. Over page, tick the relevant boxes to indicate the sessions and dates required for each child.

Name Of Child One (1) ______Date Of Birth ____/____/______

Name Of Child Two (2) ______Date Of Birth ____/____/______

Name Of Child Three (3) ______Date Of Birth ____/____/______

Name Of Parent ______Day Tel ______

Address ______

______Postcode______

If you require a receipt, please provide an email address______

Please tick box (if applicable)[ ] - There is no need to send me future postal mailings as I will access

Playscheme information by visiting the Children’s Playscheme Pages at

Availability - Availability of dates can be checked at or by calling 01452 864157 Mon – Fri (before 6pm)

Standard & Sibling Fee - The Standard feeis charged for one child attending. The Sibling fee is charged for siblings attending on the same day.

Payment of Playscheme Fees:

 Post your Booking Form with a cheque payable to “Bentham Country Club” - Bentham Playscheme, Bentham Country Club, Bentham Lane, Bentham, Gloucester, GL3 4UD. Alternatively, you can call 01452 864157 Mon – Fri (before 6pm please) and pay with a credit/debit card. Child and booking details will be taken so there is no need to return this Booking Form. Please remember to send us your completed Registration Form prior to your child’s attendance.

Through childcare voucher schemes via employers. We are registered with all principal schemes. Please call for assistance.

If requested, a receipt will be sent to you using the email address you provided above. For parents without email, it can be collected upon arrival. All card transaction receipts will be given upon arrival.

 Helping parents – if the total balance of your Playscheme fees exceed £200 and you would like help in spreading the cost, please contact us to discuss how we can help.

 It is not compulsory to book and pay for cooked lunches in advance. You can order and pay for these daily on arrival. Menu listings are available at

Cancellation & Illness – Places must be booked and paid for in advance because we need to ensure we have the correct number of Playworkers on duty for the number of children in attendance. We will refund payment for cancelled dates providing we receive 14 day’s prior notice. We are unable to refund payments made by childcare vouchers because the way childcare vouchers currently work prevents settings from crediting their member’s accounts.

In the unfortunate event that your child cannot attend due to illness or injury, our policy is more flexible than the industry norm. To promote the welfare of all children and staff, parents must observe the recommended exclusion periods for ill or infectious children e.g. 48 hours from last outset of vomiting/ diarrhoea. We will credit missed sessions for a future holiday Playscheme upto a year, subject to parental notification of absence and,if over a three day illness/absence,validation with a doctor’s note.

Information For Parents & Carers - Full information regarding our Playscheme including policies & procedures, form downloads, Ofsted reports, lunch menus and parental feedback forms can be accessed by visiting the Children’s Playscheme pages of our website – If you do not have internet access, information is available from our reception.

Please note the Playscheme is operating for the first two weeks of the summer holiday only.

Type Of Session  / Full
Day / Full Day
AllWeek /

AM

/

AM+

/

PM

/

PM+

/ Cooked
Lunch
Drop Off  / 8.30-9.30 / 8.30-9.30 / 8.30-9.30 / 8.30-9.30 / 12.30/1.30 / 11.30
Collect  / 4.15-5.45 / 4.15-5.45 / 12.30/1.30 / 2.30 / 4.15-5.45 / 4.15-5.45
Child No.  / 1 / 2 / 3 / 1 / 2 / 3 / 1 / 2 / 3 / 1 / 2 / 3 / 1 / 2 / 3 / 1 / 2 / 3 / 1 / 2 / 3
Mon 25th July
Tue 26thJuly / For Full Day all week tick child box above.
Wed 27thJuly
Thu 28thJuly
Fri 29th July
Mon 1st Aug
Tue 2nd Aug / For Full Day all week tick child box above.
Wed 3rd Aug
Thu 4th Aug
Fri 5th Aug
Standard / £21.50 / £97.50 / £14.00 / £18.50 / £14.00 / £18.50 / £3.50
Total Sessions
Sub Total £
Sibling / £20.00 / £90.00 / £13.00 / £17.50 / £13.00 / £17.50 / £3.50
Total Sessions
Sub Total £
Grand Total / £

If paying by childcare vouchers please identify the scheme you are using. If not listed, please contact us for assistance.

[ ]Allsave Ltd.[ ]Computershare (Leap Frog)[ ]Kiddi Vouchers

[ ]Care-4[ ]Edenred (Accor)[ ]Sodehho Pass

[ ]Childcare Plus[ ]Fideliti

[ ]Computershare (Busy Bees)[ ]Imagine Cooperative

We look forward to seeing you soon!