Stoneyhill 2018 / 2019 After School Club Registration Form

Edinburgh and Lothians Out of School Care (ELOSCN) 2018 / 2019 Registration Form for the Parents and Carers of the Stoneyhill After School Club.


In accordance with the new GDPR regulations, please read the following statement relating to the holding and sharing of data.

Please note all information will be held in accordance within the General Data Protection Act. ELOSCN may have to share information from time to time, due to child protection or health issues, which we have a requirement to do.

If information is required to be shared it will be done in accordance with ELOSCN's policies and procedures.






Please note you can use this form to register up to 4 children under the condition that they are all using the same service (dates and times), the contact and emergency details are the same and that they are all being paid for together.




If you are a current ELOSCN customer, please provide your unique customer number here as this enables us to ensure that your payments are matched to your account.

Your unique customer reference number is 03 for Stoneyhill followed by a / and then a number between 01 and 100. For example, 03/034.

If you are unsure, please ask your Club Manager or call the office on 0131-653-0820.

New customers will be advised of their unique customer reference number following completion of their initial registration using this form.



Our club operates a Breakfast and After School Club from Monday to Friday. The Breakfast Club is open from 7:30am - 9:00am Monday to Friday. The After School Club is open from 2:50pm to 5:45pm Monday - Thursday and 12:30pm - 5:45pm on a Friday.


Breakfast Club is £4.00, After School Club is £10.00 Monday to Thursday and £15.00 on a Friday.

There is a one-time annual registration fee (irrespective of the number of children registered) which is charged dependent of the month you register. Please see below for the registration fees:

- Registration in May, £25.00
- Registration in June, £30.00

PLEASE NOTE ALL REGISTRATIONS MUST BE COMPLETE BY JUNE 22nd, 2018.



Please indicate the service that you need by selecting the appropriate boxes below.












Please use this space to tell us of anything else relating to the service that you have requested that you think we need to know.


Please complete the following fields relating to your child(rens) information and emergency contacts.




As stated on birth certificate.








If you are registering for the next term (2018 / 2019) please indicate the class that your child will be in when they return to school in August 2018. If you are registering after that, please indicate the class your child is currently in.






Please provide any information that would be helpful to our staff relating to your first child.




As stated on birth certificate.








If you are registering for the next term (2018 / 2019) please indicate the class that your child will be in when they return to school in August 2018. If you are registering after that, please indicate the class your child is currently in.






Please provide any information that would be helpful to our staff relating to your second child.




As stated on birth certificate.








If you are registering for the next term (2018 / 2019) please indicate the class that your child will be in when they return to school in August 2018. If you are registering after that, please indicate the class your child is currently in.






Please provide any information that would be helpful to our staff relating to your third child.




As stated on birth certificate.








If you are registering for the next term (2018 /2019) please indicate the class that your child will be in when they return to school in August 2018. If you are registering after that, please indicate the class your child is currently in.






Please provide any information that would be helpful to our staff relating to your fourth child.
































Please indicate whether you live at the same address as the children.














We must have a minimum of 3 emergency contacts for your child(ren). If you have indicated above that your are contactable in an emergency, then please provide 2 more emergency contacts here. If you have indicated above that you are not contactable in an emergency, then please provide 3 emergency contacts here.
























































































In order to plan and provide appropriate care for each individual child it is important that staff have details of any additional support requirements.

Please answer Yes or No to the following questions. If you answer Yes to any of the additional support needs, please provide additional details in the box provided.







If more than one child is registered, please indicate which child and provide details of the support being provided.




If more than one child is registered, please indicate which child and provide details of the support being provided.




If more than one child is registered, please indicate which child and provide details of the support being provided.




If more than one child is registered, please indicate which child and provide details of the support being provided.




If more than one child is registered, please indicate which child and provide details of the support being provided.




If more than one child is registered, please indicate which child and provide details of the support being provided.




If more than one child is registered, please indicate which child and provide details of the support being provided.




If more than one child is registered, please indicate which child and provide details of the support being provided.




If more than one child is registered, please indicate which child and provide details of the support being provided.




If more than one child is registered, please indicate which child and provide details of the support being provided.




If more than one child is registered, please indicate which child and provide details of the support being provided.




If more than one child is registered, please indicate which child and provide details of the support being provided.




If more than one child is registered, please indicate which child and provide details of the support being provided.




If more than one child is registered, please indicate which child and provide details of the support being provided.




If more than one child is registered, please indicate which child and provide details of the support being provided.




If more than one child is registered, please indicate which child and provide details of the support being provided.




If more than one child is registered, please indicate which child and provide details of the support being provided.




If more than one child is registered, please indicate which child and provide details of the support being provided.




If more than one child is registered, please indicate which child and provide details of the support being provided.




If more than one child is registered, please indicate which child and provide details of the support being provided.




If more than one child is registered, please indicate which child and provide details of the support being provided.




If more than one child is registered, please indicate which child and provide details of the support being provided.


Please provide details of any other additional support your child(ren) needs.


Please answer Yes or No to the following question. If you answer Yes, please provide details in the boxes below.




If more than one child is registered, please indicate which child.


If more than one child is registered, please indicate which child.


If more than one child is registered, please indicate which child.


Please answer Yes or No to the following question. If you answer Yes, please provide details in the boxes below.




If more than one child is registered, please indicate which child and provide details of the dietary need.


Please use this space to provide us with any other information about your child(ren) or family circumstances, which you think would be useful for the staff to have.




I consent to my child(ren) being photographed and those photographs being used for the promotion of Out of School Care and childcare in general.


I give consent to the staff to dispense sun cream / spray to my child(ren) when necessary using a product provided by me or as deemed necessary with one held by the Club.






In order to hold a provisional space for your child(ren) and process your registration, we require a one-time annual Registration Fee payment (irrespective of the number of children registered.)

Please note the following registration fee charges apply:
- If you are registering in May the one-time fee is £25.00
- If you are registering in June the one-time fee is £30.00

So that we can hold your space(s) provisionally while we process your registration, please note that your registration fee must be paid in advance via debit or credit card.

Your card details will be held on file in order to process the registration fee. In accordance with GDPR, as soon as the payment has been successfully processed, your card details will be permanently removed from our systems.

Please select the appropriate form of payment to pay your Registration Fee only - from the drop down menu below and provide the additional requested information.



Please select your form of payment to pay for the Registration Fee only.


Please provide us with the long card number.








Within 7 days of receiving your registration fee in our account, you will receive your payment confirmation form outlining your registration request and monthly payment terms. This will be available to collect at your designated club.

Please note that your child(s) place will not be confirmed until you have signed the payment confirmation form, confirming that you have set up the monthly payments and returned this completed form to the club.

Your club manager will then provide you with a copy of the signed form, confirming your child(s) space.

Please indicate below how you will intend to pay for those fees.







Providing us with your Childcare Voucher Company Account number will greatly assist us in allocating your childcare voucher payments to your account.

If you don't know the account number at the moment, please advise us as soon as possible following the completion of this form by speaking to your Club Manager or calling the office on 0131-653-0820.



Please select which monthly payment date your Standing Order or Childcare Voucher payment will be set-up for.








Please note, that you are responsible for setting up a monthly standing order as per the above process. As Childcare Cost Awards are provided by your Education Provider, they will deducted from your account.

Any credit to your account will be fully reimbursed at the end of the school year (July 2019) assuming your account is in good standing.



If you are a new student and have not yet been issued with a student ID number, please advise us of the number as soon as it has been issued by advising your Club Manager or by calling the office on 0131-653-0820.


PLEASE TICK THE BOX BELOW AND ENSURE THAT YOU TYPE YOUR EMAIL ADDRESS CORRECTLY IN ORDER TO RECEIVE A COPY OF YOUR REGISTRATION. THIS WILL BE YOUR ONLY OPTION TO RECEIVE A COPY OF YOUR INPUT.


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