SCAMPS HOLIDAY CLUB BOOKING FORM
65a Strathmore Road Teddington TW11 8UH 020 8943 9313

  1. PARENT /GUARDIAN

FIRST CONTACT
Name:
Mobile Number:
Work Phone:
Email address: / Home Address:
SECOND CONTACT
Name:
Mobile Number:
Work Phone:
Email address: / Home Address:
Is this your first booking with Scamps? / YesNo

MEDICAL AND SAFEGUARDING

Do you agree to a Scamps staff member administering first aid, seeking medical advice, or seeking emergency treatment for your child? / Yes / No
Do you acknowledge that Scamps has legal obligations with regards to safeguarding children? / Yes / No
Do you agree to Scamps taking photos of your child for displays within Scamps? / Yes / No
Do you agree to Scamps using photos of your child for promotional material, such as the website and brochures? / Yes / No
YOUR GP DETAILS: / Details of any allergies or special requirements:
Doctor’s Name:
Address:
Surgery phone: / Allergies:
Special requirements (e.g. Epi-pen).
(Please indicate which child these apply to.)

SESSIONS AND PRICING INFORMATION

Session / Price / Early Booking discount / OR Full Week discount / OR Sibling discount
10% / 10% / Child 1 / Child 2,3…15%
8am-6pm / £37 / £33.30 / £166.50 per week / NA / £31.45
8am-3pm or
9am-4pm / £32 / £28.80 / £144.00 per week / NA / £27.20
9am-3pm / £28 / £25.20 / NA / NA / £23.80
8am-1pm / £24 / £21.60 / NA / NA / £20.40
1pm-6pm / £23 / £20.70 / NA / NA / £19.55
Explanatory notes / Applies when booked a minimum of 30 days in advance of first day on scheme per holiday. / Applies to full week bookings for either the 8-3, 9-4 or the 8-6 sessions Mon-Fri inclusive, no matter when booked. / Discount applicable on the full rate payable by the first child, i.e. not on the discounted rate of the first child, (if an Early Booking or Full Week booking discount is valid).

Full day and morning sessions include a hot meal at lunchtime. You must provide a packed tea for afternoon sessions.
PLEASE NOTE: These discounts only apply for advance bookings. In addition, places requested after 4pm on a Friday for any sessions in the subsequent week are subject to a £3 late booking surcharge for each session.

CHILDRENAND BOOKINGS

CHILD 1- M/F (please circle)
Full name:
Date of birth:
Term time school:
Monday / Tuesday / Wednesday / Thursday / Friday / Cost / week:
Date:
Session:
Date:
Session:
Date:
Session
Date:
Session:
CHILD 2 - M / F (please circle)
Full name:
Date of birth:
Term time school:
Monday / Tuesday / Wednesday / Thursday / Friday / Cost / week:
Date:
Session:
Date:
Session:
Date:
Session:
Date:
Session:
CHILD 3 – M/F (please circle)
Full name:
Date of birth:
Term time school:
Monday / Tuesday / Wednesday / Thursday / Friday / Cost / week:
Date:
Session:
Date:
Session:
Date:
Session:
Date:
Session:

TOTAL PAYABLE: ______

ONLINE BANKING

We welcome online payments. Please use a clear reference so we can correctly identify and allocate your payment.

Account Name: Scamps Account number:51404156 Sort Code:40-44-46

Reference to use:Please include child’s name and HC for holiday club.
For example,Chloe Smith HC Sum or Joseph HC OctHT The reference can be up to 18 characters.

Child’s first name is sufficient if surname is same as on your bank account, otherwise surname too.
Always add HC for Holiday Club. If room, indicate which holidaye.g.SUM for Summer; EAS for Easter; HT for half term.

Please make a separate transfer per child and use the reference as above. Email with the transaction details as remittance advice to help us allocate payments correctly.

TERMS AND CONDITIONS

  • The balance of payment is due in full prior to attendance at Holiday Club.
  • Payment of a deposit is required to secure a confirmed place: full payment includes a £10 per day non-refundable deposit. Cancellations are possible up to 7days before the first day of your booking, with loss of deposit only. No refunds are available thereafter.
  • If no deposit is paid at the time of booking, a place cannot be confirmed, and may be given to another child.
  • Places requested after 4pm on a Friday for any sessions in the subsequent week are subject to a £3 late booking surcharge per session.
  • If you are late collecting your child after their session, we impose a charge of £15 for the first 10 minutes and a further £5 for every 5 minutes or part thereof thereafter.
  • A copy of our full terms and conditions are available on request, or can be accessed via our website
  • Please circle to confirm you agree to our terms and conditions YES

How much have you paid?
  • Deposit only: £10 per day, per child Insert amount here: £______
  • Full amount. Insert amount here: £______

Have you applied a discount? If so please tick which type:
  • Early
  • FullWeek
  • Sibling

How did you pay?
  • Cheque made payable to Scamps
  • Childcare vouchers
  • Online bank transfer (bank details above)
  • Cash (payable in full, in person, with booking form)

Please sign to confirm the details of your booking:

Sign: ………………………………………………………………

Print Name: …………………………………………………… Date: ……….……………………

HOLIDAY CLUB BOOKING FAQS

Q Can I email my completed booking form?

A Yes you can, but you do need to print and sign it before scanning and sending it. This is due to child safeguarding requirements, which require all booking forms to have the signature of a parent or guardian. Please email to the address at the foot of the Booking Form.

QI want to book for more than one child, but for different session times. Is this possible?

YYes, of course. However, due to the constraints of the form, please complete one form per child if you will be booking for varying sessions for each child.

Q Are there any discounts available?

A Yes, we offer an Early Booking Discount of 10%, a Full Week Booking Discount of 10%, and a Sibling Discount of 15% for second and subsequent children booked onto the Holiday Club scheme.

Q How does the Early Booking and Full Week Booking Discounts apply? Can I get both? And does the Full Week Booking Discount only apply to full day bookings, or does it apply for the shorter sessions on offer too?

AWe have a firm policy of one discount per child. That means that if you book at least one month in advance, you can get a 10% discount on all the sessions you book for, for the first child. If you book up to the day of the session, but for a full week of full days, (ie Monday – Friday inclusive, for the 0800-1800 session), then you can get a 10% discount, but this is instead of the Early Booking discount, not in addition.

NB: the Full Week discount does not apply to shorter sessions, even if booked Monday- Friday. See table below. The Sibling Discount is available on all booked sessions, and as it is greater than the Early Booking or Full Week booking, should be the discount applied to second and subsequent children.

QDoes the Sibling Discount apply when there is Early Booking or Full Week Booking Discounts applied? And how are these calculated? Do I apply the Early Bird, then the Full Week, then the Sibling Discount?

A The Sibling Discount is applied based on the FULL amount per session. That is, you cannot apply one of our other discounts to your first child booked, and then apply the sibling Discount to this reduced amount. We have a firm policy of one discount per child.Fees table (showing discounted prices) shown above in “Sessions and Pricing Information”.

SCAMPS is a trading name of STANLEY COMBINED AM/PM PROJECT LTD

Registered in England No 5304477