North Berwick Playgroup 2024 / 2025 Registration Form

Online booking and registration form for the parents/carers of the North Berwick Playgroup.

Daily Fees

We aim to keep the daily session’s fees to a minimum. The current fee is £9.00 per morning session. £6.00 per session for Muddy Boots.*

*Muddy boots is an outdoor adventure play session based in Lodge Park, 11:30-12:30 Monday, Tuesday and Fridays.

If booking both the morning and muddy boots session this will be a combined price of £12.00.

GDPR Statement

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.

I have read and understand the above GDPR Statement and agree to my information being held and shared as per ELOSCN's policies and procedures

Registration

How many children are you registering?

You can register up to 2 children under one registration.

Your email address

Operating Times

Our Playgroup operates from 9:30 am - 11:30 am Monday, Tuesday & Friday.

Prices

Daily Fees

We aim to keep the daily session’s fees to a minimum. The 2024/25 fee is £9.00 per morning session. £6.00 per session for Muddy Boots.*

*Muddy boots is an outdoor adventure play session based in Lodge Park, 11:30-12:30 Monday, Tuesday and Fridays.

If booking both the morning and muddy boots session this will be a combined price of £12.00.

There is an annual registration fee (irrespective of the number of children registered) which is £10.00

Service Requested

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

Playgroup - Monday

Muddy Boots Crew - Monday

Playgroup - Tuesday

Muddy Boots Crew - Tuesday

Playgroup - Friday

Muddy Boots Crew - Friday

Start Date

Please use this space to tell us the date you wish the childcare to commence.

End Date

Please enter the expected date you will be leaving the playgroup. This is essential to help us calculate your monthly payment.

dd/mm/yyyy

Your Child(rens) Details

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

Child 1 - First Name

Child 1 - Any other name that your child is known by

Child 1 - Last Name

Child 1 - Gender

Child 1 - Date of Birth

Child 1 - Comments

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

Child 2

Child 2 - First Name

Child 2 - Any other name that your child is known by

Child 2 - Last Name

Child 2 - Gender

Child 2 - Date of Birth

Child 2 - Comments

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

Child(rens) Home Address

Child(rens) Home Address (Line 1)

Your Details

Your First Name

Your Last Name

Relationship to Child(ren)

Your Mobile Phone Number

Emergency Contact Information

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. THESE CONTACTS MUST BE WITHIN 20 MILES OF THE SETTING.

Other (1) Emergency Contact First Name

Other (1) Emergency Contact Last Name

Other (1) Emergency Contact Relationship to Child

Other (1) Emergency Contact Phone Number

Second Emergency Contact

Other (2) Emergency Contact First Name

Other (2) Emergency Contact Last Name

Other (2) Emergency Contact Relationship to Child

Other (2) Emergency Contact Phone Number

Your Child(rens) Doctor's details

Doctor's Name

Doctor's Telephone Number (inc. area code)

Your Child(rens) Dentist's details

Dentist's Name

Dentist's Telephone Number (inc. area code)

Additional Support

In order to plan and provide appropriate care for each individual child it is important that staff have details of any additional support requirements. If you answer Yes to any of the additional support needs, please provide additional details in the box provided.

Does your child(ren) have any of the following

If yes please expand in this box

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

Other additional Support?

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

Medication

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

Does your child, or children, take medication on a regular basis?

if Yes, what medication does your child take?

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

If Yes, what is the dosage and administration?

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

If Yes, what are the symptoms of the illness?

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

Special Dietary Needs

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

Does your child, or children, have special dietary needs?

If yes, please advise which child has the dietary need

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

Any Other Useful Information

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.

Consent

Photographic Consent

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.

Sun Cream / Spray Consent

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.

Agreement

Parent / Carer Handbook

I have received, read and understood the Parent / Carer Handbook with terms and conditions, in order to use this Service.

You can find our parent handbook on our website at www.eloscn.com

Registration Fee

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

Card Type

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

Card Number

Please provide us with the long card number.

Card Expiration Month and Year (MM/YY)

Card Security Code (3 digits on the back of the card)

Card Holder - Name on Card

Your Monthly Payments for Childcare Fees

Your registration will be pending until you have visited our club setting with your child(ren) to ensure the setting is suitable for both parties. Please note that you have 7 working day from this confirmation email to edit or cancel this contract with ELOSCN.

There is a 2 week notice period for any cancellations or changes.

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

Intended Form of Payment

Childcare Voucher Company

Childcare Voucher Company Account Number (if known)

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.

Monthly Payment Date

Please select which monthly payment date your Standing Order or Childcare Voucher payment will be set-up for which has to be released on the 1st or 15th of each month.

Please provide any other important information regarding payment in the box below

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