Beehive request form (Before and After School provision)

I confirm that I understand when I sign the terms and conditions for the placement at the Beehive, I have to give 4 weeks notice to terminate payments of this contract, unless alternative arrangements have been authorised by the school’s senior management.

Select the appropriate sessions for childcare:

Child's Name*

Your Name*

Your Email*

Monday Provision:

Monday - Morning:

Monday - Evening Part - 03:05pm-04:35pm:

Monday - Evening Full - 03:05pm-05:45pm:

__________________________

Tuesday Provision:

Tuesday - Morning:

Tuesday - Evening Part - 03:05pm-04:35pm:

Tuesday - Evening Full - 03:05pm-05:45pm:

_________________________

Wednesday Provision:

Wednesday - Morning:

Wednesday - Evening Part - 03:05pm-04:35pm:

Wednesday - Evening Full - 03:05pm-05:45pm:

_________________________

Thursday Provision:

Thursday - Morning:

Thursday - Evening Part - 03:05pm-04:35pm:

Thursday - Evening Full - 03:05pm-05:45pm:

_________________________

Friday Provision

Friday - Morning:

Friday - Evening Part - 03:05pm-04:35pm:

Friday - Evening Full - 03:05pm-05:45pm:

______________________________________________________________

Registration Form

Full Name of Child*

Address*

Postcode*

Date of Birth*

Class*

Name of Parent/Main Carer*

Doctor's Name

Doctor's Address*

Postcode*

Tel. No.*

Any known special dietary requirements/food allergies

Any known medical conditions

Any known allergies to medication

Any additional needs

Any other important information

_______________________________________________________________________________________

Parent/Carer Permission for Administering Emergency Treatment

In order for staff to ensure your child receives the best and most appropriate care, attention and treatments should there be an emergency in the provision, please complete, sign and date the declaration below. To be completed by the parent/carer:

First Name*

Last Name*

Name of Parent/Carer 1 *

Name of Parent/Carer 2

By signing the final signatory declaration you are agreeing to the following statements: I agree to the member of staff in charge taking the necessary steps to ensure that my child receives the best and most appropriate care, attention and treatment should there be an emergency or accident in the provision. I understand that the member of staff in charge will make every effort to inform me of any emergency or accident as soon as is possible but that they may have to accompany my child to hospital in my absence. I give my permission for the member of staff in charge to authorise hospital staff to administer essential treatment until my arrival.

If you do not agree with the above declaration, please do not sign but make your views known to staff. The member of staff in charge will discuss this with you and do their best to accommodate your wishes.

_______________________________________________________________________________________

‘The Bee Hive’ Parent/Carer Contact Details

Parent/Carer 1:

First Name*

Last Name

Address*

Postcode*

Legal Guardian *

Tel No. Mob*

Tel No. Home

Tel No. Work

Parent/Carer 2

First Name*

Last Name*

Address*

Postcode*

Legal Guardian*

Tel No. Mob*

Tel No. Home

Tel No. Work

Emergency Contact (should parents/carers not be contactable)

Name*

Relationship to Child*

Address*

Postcode*

Tel No. Mob*

Tel No. Home

Tel No. Work

_______________________________________________________________________________________

I confirm that I have read and will abide by the terms and conditions of usage.

Signed*

Date*

Please note that by digitally signing this ballot form, you are in agreement with our terms and conditions. We treat digital signatures as though the form has been signed by you in person*:

Beehive request form (Before and After School provision)

Select the appropriate sessions for childcare:

Monday Provision:

__________________________

Tuesday Provision:

_________________________

Wednesday Provision:

_________________________

Thursday Provision:

_________________________

Friday Provision

______________________________________________________________

Registration Form

_______________________________________________________________________________________

Parent/Carer Permission for Administering Emergency Treatment

In order for staff to ensure your child receives the best and most appropriate care, attention and treatments should there be an emergency in the provision, please complete, sign and date the declaration below. To be completed by the parent/carer:

If you do not agree with the above declaration, please do not sign but make your views known to staff. The member of staff in charge will discuss this with you and do their best to accommodate your wishes.

_______________________________________________________________________________________

‘The Bee Hive’ Parent/Carer Contact Details

Parent/Carer 1:

Parent/Carer 2

Emergency Contact (should parents/carers not be contactable)

_______________________________________________________________________________________

I confirm that I have read and will abide by the terms and conditions of usage.

Contact Us

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