After school club
Registration Form

Grove Hall Nursery Ltd

(Please complete and print)

Child Full Name * Preferred Name Date of Birth *
School Attended *
Childs home address *
Parent / Guardian names *
Home telephone number * Ethnicity * Religion * Language spoken at home *


Parent / Guardian details
1st Contact Name * 2nd Contact Name
Relationship to Child * Relationship to Child
Home address * Home address
Mobile number * Mobile number
E-mail * E-mail
Employers name * Employers name
Employers tel no * Employers tel no



Parent/Carer’s signature * ___________________________________________
Please print name *
 Date*


Print


After school club
Terms and Conditions
Grove Hall Nursery Ltd 		Grove Hall Nursery Ltd
59 Balham Grove
London SW12 8BD
Tel. 020 8673 1943
info@grovehallnursery.com

Terms and conditions for Parents / carers to be kept for future reference

Parents / carers will ensure that all telephone numbers and contact details and information on the registration form are kept up to date at all times.

Parents / carers agree to book and pay for sessions in advance.

Please ensure that a minimum of 1 months’ notice is given to change pre booked arrangements. It is not possible to swap days or refund monies due to non-attendance once a booking has been made. Parents / carers should be aware that it is their responsibility to check bookings are correct.

Any costs incurred by Grove Hall relating to the recovery of fees will be added to any amount outstanding

In after school and holiday clubs staff hours are up to 6.30p.m. Staff must ensure that everything is packed away before 6.30p.m. and that they are off the premises. We therefore recommend that children are collected no later than 6.20p.m.

If a child is collected late, parents / carers will be invoiced for the extra staffing costs incurred.

All children are expected to behave appropriately at the setting. Parents will be informed if their child’s behaviour is inappropriate. We also ask that you as parents help us to set the right example to the children by treating our colleagues with the respect they deserve whilst at work.

In the event of an emergency, parents' consent to the seeking of any necessary emergency medical advice or treatment in the future during the running of the setting.

Unless stated in the allergies section on the form, I give permission for Grove Hall staff to use antiseptic wipes and/or plasters should they be needed. Only medication prescribed by a doctor will be administered by the staff and we must have prior written permission of the parent / carer.

Parents / carers agree that photographs of their child may be taken for display at the setting. If we would like to use photos for any other purpose, e.g. publicity, we will seek written permission from parents / carers.

All information which we have been given relating to your child will be held securely and confidentially.

Grove Hall believes that every child is entitled to a safe and happy environment. All adults associated with Grove Hall are committed to this statement. Anyone accessing the facilities offered by Grove Hall will also accept these principles and should anyone have any concerns, we will seek the advice of professional agencies including the Social Care team if we feel it is in the interests of safeguarding your child.
Grove Hall ltd
59 Balham Grove
SW12 8BD
Tel: 020 8673 1943 or 07590057304
Website: www.grovehallnursery.com
E-mail: info@grovehallnursery.com




After school club

Monthly Payment Plan Booking Form 2019


Name of child
Address
Telephone
E-mail

Charges: - £27.50 per session (this includes tea)


To cancel a booking we require one month’s notice otherwise you will be charged for session.


Sessions Booked (15.15pm - 18.30pm)
(Please circle days required)

WEEK DAY
Mon		 DAY
Tues		 DAY
Wed		 DAY
Thurs		 DAY
Fri		 WEEKLY
COST

November
Wk 1
2nd
3rd
4th
5th
6th
£
Wk 2
9th
10th
11th
12th
13th
£
Wk 3
16th
17th
18th
19th
20th
£
Wk 4
23rd
24th
25th
26th
27th
£
Wk 5
30th
£

December
Wk 5
1st
2nd
3rd
4th
Wk 6
7th
8th
9th
10th
11th
£
Wk 7
14th
15th
16th
17th
18th
£
TOTAL NUMBER SESSIONS BOOKED
TOTAL COST
£
TOTAL AMOUNT PAID
£

Payments over £150.00 can be made in two stages of 50%
   1st payment date - paid on booking
   2nd payment date - no later than 20th of the month

Charges will be made for late collection at £10.00 per ¼ hour or part thereof. The cost for each after school session, regardless of collection time, is £27.50 per child.
(Charges subject to change).