basc application doc - Drighlington Primary School

Dear Parents,
Please find attached an updated registration pack for your child.
Please complete all areas of the registration pack with complete and upto-date
information, including your requirements for care from
September 2011.
Please return your completed and signed registration packs in by Monday
20th July, so that staffing and future planning can be arranged in
advance.
Breakfast Club - £3.25
After School Club £8.75
Breakfast Club runs from 7:45am until 9:00am.
Please note that we cannot take responsibility for your children before
7:45am, so please do not attempt to drop them off earlier than this time.
After School Club runs from 3:00pm until 6:00pm
If your child attends any school organised activities at the end of the
school day we will collect your child when the activity has finished.
As always please feel free to come and see me to talk about any individual
needs and requirements that you may have.
Regards
Mr Ben Whitaker
Before and After School Club Manager

Extended Services @ Queensway Primary
Queensway Kids
Queensway Kids offers wraparound term time care for your child at
Queensway Primary School and Children’s Centre between the hours of
7.45am and 6.00pm, through the provision of a Breakfast Club and After
School Club as well as craft and cookery clubs and whole school events.
The clubs cater for children in all years, from Nursery upwards.
WHAT IS A BREAKFAST CLUB?
A Breakfast Club provides care for children before the start of their
school day.
Once registered and booked in, you can leave your child(ren) with us from
7:45 am until the start of the school day.
Children will be given the choice of foods from our breakfast menu,
including: toast and various spreads; a range of
healthy cereals; fresh fruit; and a choice of
drinks.
Research into Breakfast Clubs has
shown that:
They improve attendance at school
Children are more relaxed and ready to learn if they have eaten
and had an enjoyable start to the day
They help to improve concentration and academic performance

They provide a healthy meal at the beginning of the day
They provide a safe, familiar, warm
environment
They develop social skills and
interaction
They provide continuity of care
Benefits for Parents:
Reassurance that your children are
safe and in school at the correct time
Enable the return to full-time work, part-time work, shift work or
training
WHAT DOES THE AFTER SCHOOL CLUB
OFFER?
A club for working parents and those that would like their children to
play with friends after school in a safe environment. Once registered and
booked in, you can leave your child(ren) with us from the end of school
until 6pm. We will collect your child(ren) directly from their classrooms
at the end of the school day and take them to the after school club held
in the school hall. Any children who attend after school activities will be
collected when their activity has finished.
WHAT CAN THE CHILDRE N EXPECT?
Activities are always varied so that the children will always be
entertained. The club offers a wide range of activities including extensive
arts and crafts, educational learning such as puzzles, construction toys
and board games.
We also supply a
wide range of
reading books. For
special occasions

we also have a Play station with a selection of games, including a dance
mat. We also promote team building and physical activities via indoor and
outdoor sports such as football, dodge ball, rounders, cricket and
basket/netball and scooters, skipping ropes, flick ball, table tennis, tennis
and obstacle course building.
On arrival at the after school club all children will be registered and have
access to water so they can have a drink before any activities are under
taken.
The children are then free to choose an activity or join in with the adult
led activity of the day.
We prepare all meals on site. There is a weekly evening meal menu, which
is varied and healthy. The menus offer seasonal variety and we welcome
input and suggestions from the children and parents.
We offer a free play environment for after school club, as we recognise
that the children have been working hard all day during school and we
would like them to have the chance to relax and unwind, so they are free
to choose an activity of their choice. The activities we have are, dressing
up, arts and crafts, indoor and outdoor sports, gardening, cooking, baking,
DVD’s, music, board games, outings, group games, role play, small world,
jigsaws, computer games, PC with school controlled internet access, chill
out zone, homework help and lots more!
We celebrate all the children’s birthdays with a party tea and you are
welcome to provide a cake for the occasion.
For further details and information on how to
register your child(ren) please contact Mr Ben
Whitaker in the Staff Room or call 07806299993
between 7:30am and 6:30pm.

Price Structure
Price Structure
Breakfast Club £3.25 includes breakfast and drinks
After School Club £8.75 includes, evening tea and drinks
Sibling discount of 10% applies to full fee cost
All absences for pre-booked sessions must be paid for.
Extended services fees will be invoiced and should be paid monthly in advance
Methods of Payment
All invoices can be paid in cash or by cheque made payable to ‘Leeds City Council’.
All monies should be given directly to the Manager where you will be given a receipt of
payment. All invoices must be paid within 7 Days.
Notice Period
One months notice in writing must be given to terminate or amend this contract for
extended services.
Late Collection Fees
A late collection fee of £5.00 per half hour or part half hour will be added to following
months invoice for any collection after 6:00pm.
Acceptance of Terms
I have read all the information and agree to comply with all terms, charging and time
policies as set out above.
Parent/Carer Signature…………………………………………………………………………………..
Manager Signature…………………………………………………………………………………………..

Please indicate below which sessions you require for Before and After
School Care @ Queensway Kids
This forms part of your contract with Queensway Kids Extended Services
and all confirmed sessions will be invoiced in advance on a monthly basis.
Name of Child____________________________________________
Date Of Birth____________________________________________
Class___________________________________________________
MONDAY _______________________________________________
TUESDAY ______________________________________________
WEDNESDAY ____________________________________________
THURSDAY _____________________________________________
FRIDAY ________________________________________________
Breakfast Club – 7:45am – 9:00am - £3.25 per session
After School Club – 3:00pm – 6:00pm - £8.75 per session
Please note that children will not be admitted to Breakfast Club
before 7:45am, we cannot take responsibility for your child/ren
before this time.
Parent/Carer Signature_____________________________________
Manager Signature________________________________________

Medical History
Any Previous illnesses?
Any Hospital admissions / Reasons?
Vaccinations?
If so what are the signs and treatment?
Is your child currently receiving any hospital treatment?
If so what?
At which hospital?
Name of consultant
Is your child on any regular prescribed medication ? (lotions or creams)
Any known allergies?
Signs and symptoms
Has your child any special dietary needs ?
Does your child have a recurring illness?

Queensway Primary School - School Club
Dietary/ Allergy sheet
Name of child:
D.O.B:
Dietary requirements:
Allergies/ illnesses:
Allergic to:
Special Precautions:
What symptoms:
How are they managed ?
Procedures for an emergency:

Queensway Primary School
Extended Services Registration Pack
Child’s
Name_______________________________________________
D.O.B__________________________________________________
__
Gender_________________________________________________
___
Place Of
Birth______________________________________________
Address______________________________________________________________
______________________________________________
Postcode________________________________________________
__
Religion
__________________________________________________
Ethnic
Origin_______________________________________________
Home
Language_____________________________________________
Start Date / Leaving Date

Who can collect your child from extended care
Name and address of nominated
person/s__________________________
_______________________________________________________
_______________________________________________________
____
Are there any custody issues related to your child Yes/No
If yes please detail overleaf
Emergency Contact Details
Please provide up to date details for each contact listed.
Name, Address, Relationship to Child, Direct Contact Number:
1st
Contact________________________________________________
_______________________________________________________
__
2nd
Contact________________________________________________
_______________________________________________________
__
Name
Daytime
Contact
Number
Mobile Phone
Number
Place of Work
or Training
Work or
Training
Contact
Number
Mother
Father
Please include the name and their relationship to the child, of any other regular or
permanent members of your household
_______________________________________________________
_______________________________________________________

Medical Support Information
Please provide Name, Address and Telephone contact details for the
following:
Doctor__________________________________________________
_______________________________________________________
____
Health
Visitor______________________________________________
_______________________________________________________
__
Dentist_________________________________________________
_______________________________________________________
____
Other__________________________________________________
_______________________________________________________
____
Queensway Kids Extended Services Consent Form
Please authorise consent by signing next to each permission area.
Childs Name______________________________________________
Parent/ Carer Name________________________________________
Address________________________________________________
Telephone_______________________________________________
Mobile__________________________________________________
Emergency Medical Treatment
I authorise the Queensway Kids Manager or nominated Person to obtain
any emergency treatment including the administration of anaesthetic in
the event of any injuries received whilst under the care of Queensway
Primary School and its Extended Services.
I understand that in the event of an accident I will be contacted
immediately.
Parent/Carer Signature_____________________________________

Photographs
I give permission for my child to be photographed or videotaped whilst
involved in activities connected with the school curriculum.
I understand that NO commercial use will be made of these photographs
or videotapes without further consent and approval.
Parent/Carer Signature_____________________________________
Local Visits
I give permission for my child/ren to be taken out of school on local area
visits.
All trips involving travel or going further afield will be notified by a letter
home.
Parent/Carer Signature_____________________________________
Creams and Lotions
I give permission for staff at Queensway Kids Extended Services to
apply creams and lotions that I have provided.
Parent/Carer Signature_____________________________________