YMCA Thames Gateway, Romford Summer Holiday Programme 2017

Child’s names
Date of Birth / Age
Home Address
(PLEASE STATE IN FULL)
Home telephone:
Email address
Collection Password

People authorised to collect child from YMCA (Including Parents/Carer)

Name / Relationship to child / Contact number / Parental responsibility

Medical information

Does your child take any medication?
Does your child have any known allergies?
Does your child have any disabilities, additional needs or receive any 1-2-1 support at school? / (PLEASE STATE IN FULL)
I give consent for a staff member to apply first aid to my child, and to seek medical advice or treatment if required.
I give permission for my child’s photo/Video to be used for publicity purposes
I give permission for my child to go offsite and use public transport under the guidance of YMCA Staff.
I give permission for YMCA Staff to apply sun cream to my child which I will need to provide on hot/ sunny days.
Where did you hear about us ?
Prices Per Child
£30 per day- Monday, Tuesday, Wednesday or Friday
£40 per day- Thursday
Please tick which days you would like to book your child on
Monday / Tuesday / Wednesday / Thursday / Friday
W/c
24.07.2017
W/c
31.07.2017
W/c
07.08.2017
W/c
14.08.2017
W/c
21.08.2017
W/c
28.08.2017 / BH
I can confirm that I agree and understand all of the booking terms & conditions on the reverse of this sheet and that I agree to adhere to them.All payments must be cleared before attendance. If payment is not cleared then the child will not be allowed to attend.
I understand that if I drop my child off after 9am then they may not be accepted into the holiday club.
I also confirm that the details which I have provided are all correct and that I should notify YMCA Thames Gateway, Romford of any changes to information or the collection of my child.
I understand that no space is allocated until payment is made in full and all cancelled sessions are still chargeable. I understand that if I pay by vouchers then I will need to provide proof of payment.
Print Name:
Signed:
Date:
RULES AND CONDITIONS OF USE
BOOKINGS
  1. All children must be registered before they can attend; Holiday Club places are booked and paid for in advance. No child shall be allowed to attend holiday club until full payment has been made and confirmation of place will be confirmed via telephone or email
  2. There is no refund for unused pre-booked sessions. These sessions are non-transferable. If payment is not cleared then the child will not be allowed to attend.
  3. We are registered with Ofsted and can accept most childcare vouchers.
  4. A packed lunch is required each day in a clearly named bagunless stated otherwise on our planner
  5. All booking forms which are received, that are then cancelled will still be chargeable
REGISTRATION
  1. All children must be signed in before 9am. Any child that arrives after 9m for registration may not be accepted in holiday club and may be sent home.
DROPPING CHILDREN OFF
  1. Children MUST be brought into the sports hall by a parent/carer and not left in the corridor or to walk in from the car park.
  2. Registration is strictlyfrom 8am, please DO NOT drop your children off any earlier or leave them unattended.
  3. All children must be signed in on our registers with the name of a person, printed clearly, who shall be picking them up
COLLECTION OF CHILDREN
  1. Children must be signed out by their parent or authorised collector. Children will only be allowed to leave the premises with an authorised collector, as indicated on their registration form, we will ask you for a password
  2. There is a late collection fee of £5 per 15 minutes, or part thereof, from 6pm for every child collected after their booked session. This fee will be charged and payment will be due immediately. Payment must be made before the child’s next booked session

Did you know? At YMCA Thames Gateway, Romford we also offer other Childcare Services such as Birthday Parties, After School Club and Pre-School

For more information please visit our website at or email