PLAY-A-WAY HOLIDAY CLUB
REGISTRATION FORM
2015
NAME OF CHILD / CHILDREN
1…………………………………. ………………………
2………………………………………………………….
3………………………………………………………….
D.O.B______________________
D.O.B______________________
D.O.B______________________
ADDRESS………………………………………………………………………………………………….
POSTCODE___________________________
HOME PHONE NO…………………………………….
MOBILE………………………..
FULL NAME OF PARENT/GUARDIAN………………………………………………………………..
NAME OF DOCTOR……………………………………………………………………………………..
ADDRESS…………………………………………………………………………………………………
TELEPHONE…………………………………………….
ANY ILLNESSES OR ALLERGIES/PROBLEMS?
…………………………………………………………………………………………………………….
ANY MEDICATION TO BE GIVEN……………………………………………………………………
EMERGENCY DETAILS FOR USE IF WE CANNOT CONTACT PARENT.
NAME………………………………………………….
TEL NO…………………………
RELATIONSHIP TO CHILD……………………………………………………
YES
NO
DO YOU GIVE PERMISSION FOR YOUR CHILD TO TAKE PART IN ANY OUTINGS I.E.
TRIPS, PARKS ETC
DO YOU GIVE PERMISSION FOR YOUR CHILD TO HAVE SUNCREAM APPLIED?
DO YOU GIVE PERMISSION FOR STAFF TO ASSIST YOUR CHILD IF NEEDED DURING
TOILETING OR CHANGING OF CLOTHES DUE TO ANY ACCIDENTS THAT MAY
OCCUR?
IF NOT EMERGENCY PERSON WILL BE CONTACTED
DO YOU GIVE PERMISSION FOR PHOTOGRAPHS TAKEN OF YOUR CHILD TO BE
DISPLAYED AND USED TO PROMOTE THE ACTIVITIES OF THE CENTRE
DO YOU GIVE PERMISSION IN CASE OF EMERGENCY FOR STAFF AT PLAY-A -WAY
TO ADMINISTER FIRST AID OR TO TAKE MY CHILD TO HOSPITAL, AND CONSENT TO
ANY EMERGENCY PROCEDURES WHICH MAY BE DEEMED NECESSARY FOR THE
WELL BEING OF YOUR CHILD.
ALL PARENTS / CARERS SHOULD READ THE INFORMATION ATTACHED TO THIS FORM
WHICH GIVES CLEAR GUIDELINES ENSURING ALL CHILDREN ENJOY THE HOLIDAY CLUB
AND SIGN BELOW CONFIRMING YOU HAVE READ AND UNDERSTOOD ITS CONTENTS.
SIGNED………………………………………………………
DATE………………………..
PLAY-A-WAY HOLIDAY CLUB
IMPORTANT INFORMATION FOR PARENTS. (PLEASE KEEP)

WHEN YOUR CHILD ATTENDS THE CENTRE, ALL PARENTS / CARERS MUST ACCOMPANY THEM TO
THE DOOR AND SIGN IN AND OUT.

CHILDREN WILL ONLY BE RELEASED TO AN APPROPRIATE ADULT (18YRS)

MAKE SURE YOUR CHILD’S BELONGINGS ARE LABELLED CLEARLY.

ALL CHILDREN MUST BRING A COAT/RAINCOAT WITH THEM EVERYDAY INCASE WE GO FOR A
WALK OR TO THE PARK.

IF YOUR CHILD IS STAYING THE FULL DAY, PLEASE ENSURE THEY HAVE A LUNCH WITH THEM.
PLEASE PLACE A SMALL ICE PACK IN LUNCH BOX TO KEEP FOOD COOL.

PLEASE BE AWARE WE HAVE A CHILD WITH A NUT ALLERGY THEREFORE PLEASE CHECK ANY
FOOD IS NUT FREE.

PRE-SCHOOL CHILDREN CAN ONLY ATTEND MORNING SESSIONS.

DURING WARMER WEATHER SUNCREAM SHOULD BE APPLIED BEFORE YOU BRING YOUR CHILD TO
THE CENTRE. IF YOUR CHILD IS ATTENDING ALL DAY AND SUNCREAM NEEDS TO BE REAPPLIED
PLEASE ENSURE IT IS LABELLED WITH YOUR CHILD’S NAME AND IT CAN BE LEFT IN THE CENTRE,
OR TAKEN HOME DAILY. IN HOT WEATHER CHILDREN SHOULD WEAR A SUN HAT DURING
OUTDOOR ACTIVITIES. PLEASE CHECK SUNCREAM USED IS NOT COCONUT BASED DUE TO CHILD
WITH NUT ALLERGY.

THERE WILL BE A HEALTHY TUCK SHOP DAILY AND CHILDREN CAN SPEND 50 PENCE IN EACH
SESSION.

IF YOUR CHILD NEEDS ANY MEDICATION A MEDICATION CONSENT FORM MUST BE COMPLETED.
ANY MEDICATION THAT YOUR CHILD NEEDS MUST BE HANDED TO A STAFF MEMBER, AND
LABELLED WITH YOUR CHILD’S NAME.

SUMMER SCHEME ACCOUNTS ARE MONTHLY AND MUST BE PAID IN ADVANCE WITHIN THE FIRST
WEEK OF ATTENDING. ALL DAYS BOOKED MUST BE PAID FOR EVEN IF YOUR CHILD DOES NOT
ATTEND. CHEQUES SHOULD BE MADE PAYABLE TO “PLAY-A-WAY CHILDCARE CENTRE” AND MUST
CARRY A CHEQUE GUARANTEE NUMBER. LATE PAYMENTS WILL RECEIVE A £10 LATE PAYMENT
FEE.

IF YOUR CHILD WILL NOT BE ATTENDING FOR ANY REASON PLEASE RING THE OFFICE. IF YOUR
CHILD IS GOING TO BE LATE (AFTER 9.30AM OR AFTER 2PM) PLEASE LET US KNOW AS WE MAY HAVE
PLANNED TO GO OUT. IF YOU PLAN TO COLLECT YOUR CHILD EARLY, PLEASE RING AS WE MAY BE
OUT. CHILDREN ATTENDING AFTERNOON SESSIONS SHOULD NOT BE COLLECTED BEFORE 4PM
UNLESS PRIOR ARRANGEMENTS MADE WITH STAFF.

ANY PARENT/CARER WHO WOULD BE WILLING TO SHARE A SKILL OR INFORMATION ABOUT THEIR
OCCUPATION I.E. FIREMAN, POLICE OFFICER, NURSE ETC. PLEASE LET US KNOW.

ACTIVITIES WILL HAVE A DIFFERENT TOPIC EACH WEEK AND WILL INCLUDE – CRAFT, GAMES,
COMPETITIONS, COOKERY, DRAMA, COMPUTERS, OUTDOOR PLAY, WALKS AND TRIPS.

PLAY-A-WAY IMPLEMENT A COMPREHENSIVE BEHAVIOUR MANAGEMENT PLAN TO ENSURE THE
SAFETY AND WELL-BEING OF ALL CHILDREN AND STAFF. IF YOUR CHILD/CHILDREN DISPLAY
UNWANTED BEHAVIOUR WE WILL DISCUSS THE MATTER WITH YOU TO HELP BRING A SOLUTION TO
THE PROBLEM. IF UNWANTED BEHAVIOUR CONTINUES IT MAY RESULT IN THE CHILD/CHILDREN
LOSING THEIR PLACE.
PLAY-A-WAY CHILDCARE CENTRE LTD.
ZION HALL, ZION PLACE, N’ARDS. BT23 7ER
TEL. 02891 822414
SUMMER SCHEME.
Dear Parents,
We will be providing Childcare during July & August. As the Summer Scheme is very popular it is important to book your child’s
place now.
To help us in this matter and to ensure your child’s place please complete the reply slip below and return with £20 deposit which will
secure your child’s place (deposit non refundable) PLEASE NOTE ACCOUNT IS MONTHLY AND MUST BE PAID ON
FIRST DAY OF ATTENDANCE.
The Scheme will operate from Wednesday 1 July until Wednesday 26 August
During the Summer Scheme the children will go on outings to the park and take part in special activities (details will follow)
The Scheme will operate full day sessions 8.30am until 6pm at £15 or half day sessions 8.30am to 1pm / 1.30pm to 6pm at £10.00.
Children should bring a packed lunch to full day sessions; this should include a small ice pack to keep food cool. All pre-booked places
must be paid for even if the child does not attend. Please book weeks required and pay a deposit of £20 per family (non-refundable).
Please note deposits will be credited to July / August monthly accounts.
REPLY SLIP.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
I require a place for my child / children ________________________________________________________________
To attend the Summer Scheme at Play-a-Way. I have included £20 deposit. (non refundable)
SIGNED ………………………………………………………..
Date………………………………………………..
BOOKING FORM – Please return booking form, registration and deposit as soon as possible.
Please indicate days required, enter total days per week and amount due per month. Additional children from the same family are
entitled to £1 reduction per day per child
Please use code AD for all day, AM for morning, PM for afternoon.
Place code in box of relevant day. Calculate cost per week & per month.
JULY
1st-3rd
6th-10th
13th-17th
20th-24th
27th-31st
AUG
3rd-7th
10th-14th
17th-21st
24th-26th
WK 1
WK 2
WK 3
WK 4
WK 5
MON
TUE
WED
THURS
FRI
Days @
£10.00 or £15.00
C
L
O
S
E
D
MON
TUES
WED
THURS
FRI
WK 6
WK 7
WK 8
WK 9
Total £
Please detach bottom copy for your records.
----------------------------------------------------------------------------------------------------------------------------- ---------------------------JULY
1st-3rd
6th-10th
13th-17th
20th-24th
27th-31st
AUG
3rd-7th
10th-14th
17th-21st
24th-26th
WK 1
WK 2
WK 3
WK 4
WK 5
MON
TUE
WED
THURS
FRI
Days @
£10.00 or £15.00
C
L
O
S
E
D
MON
TUES
WED
THURS
FRI
WK 6
WK 7
WK 8
WK 9
Total £
PLAY-A-WAY CHILDCARE CENTRE LTD.
ZION HALL, ZION PLACE, N’ARDS. BT23 7ER
TEL. 02891 822414
SUMMER SCHEME.
PRE-SCHOOL BOOKING FORM
Dear Parents,
We will be providing Childcare during July & August. As the Summer Scheme is very popular it is important to book your child’s
place now.
To help us in this matter and to ensure your child’s place please complete the reply slip below and return with £20 deposit which will
secure your child’s place (deposit non refundable) PLEASE NOTE ACCOUNT IS MONTHLY AND MUST BE PAID ON
FIRST DAY OF ATTENDANCE.
The scheme will operate from Wednesday 1 July until Wednesday 26 August.
During the Summer Scheme the children will go on outings to the park and take part in special activities (details will follow)
The scheme will operate 8.30am to 1pm at £10.00. All pre-booked places must be paid for even if the child does not attend. Please
book weeks required and pay a deposit of £20 per family (non-refundable). Please note deposits will be credited to July / August
monthly accounts.
REPLY SLIP.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
I require a place for my child / children ________________________________________________________________
To attend the Summer Scheme at Play-a-Way. I have included £20 deposit. (non refundable)
SIGNED ………………………………………………………..
Date………………………………………………..
BOOKING FORM – Please return booking form, registration and deposit as soon as possible.
Please indicate days required, enter total days per week and amount due per month. Additional children from the same family are
entitled to £1 reduction per day per child
Please tick box of relevant day. Calculate cost per week & per month.
JULY
1st-3rd
6th-10th
13th-17th
20th-24th
27th-31st
AUG
3rd-7th
10th-14th
17th-21st
24th-26th
WK 1
WK 2
WK 3
WK 4
WK 5
MON
TUE
WED
THURS
FRI
Days @
£10.00
C
L
O
S
E
D
MON
TUES
WED
THURS
FRI
WK 6
WK 7
WK 8
WK 9
Total £
Please detach bottom copy for your records.
----------------------------------------------------------------------------------------------------------------------------- ---------------------------JULY
1st-3rd
6th-10th
13th-17th
20th-24th
27th-31st
AUG
3rd-7th
10th-14th
17th-21st
24th-26th
WK 1
WK 2
WK 3
WK 4
WK 5
MON
TUE
WED
THURS
FRI
Days @
£10.00
C
L
O
S
E
D
MON
TUES
WED
THURS
FRI
WK 6
WK 7
WK 8
WK 9
Total £
PLAY-A-WAY CHILDCARE CENTRE LTD.
ZION HALL, ZION PLACE, N’ARDS. BT23 7ER
TEL. 02891 822414
PLEASE NOTE:- Parents if your child/children do not regularly attend the Centre but are
booked in for Holiday club, the Account MUST be paid in full on the first day your
child/children attend otherwise we will be unable to provide care. Any problems please
speak to the Manager, Mrs Lydia McAlees.
Thank you.
.....................................................................................................................................................
PLAY-A-WAY CHILDCARE CENTRE LTD.
ZION HALL, ZION PLACE, N’ARDS. BT23 7ER
TEL. 02891 822414
PLEASE NOTE:- Parents if your child/children do not regularly attend the Centre but are
booked in for Holiday club, the Account MUST be paid in full on the first day your
child/children attend otherwise we will be unable to provide care. Any problems please
speak to the Manager, Mrs Lydia McAlees.
Thank you.