Towerbank After School Club Registration 2024/2025 Thank you for your interest in joining Towerbank After School Club. We hope you are successful in your application and we are looking forward to getting to know you and your family. Please fill out the following form to give us the information we need to offer your child a space. As part of the form we will require you to upload a photograph of your child, so please have ready a recognisable, recent, clear, head & shoulders shot of your child. You will also be asked to pay your membership fee (your child will not be offered a place at TASC without it. Refundable if you choose to be removed from the waiting list) by Bank Transfer so it will speed up your application to get that ready too. Places will be allocated based on the time stamp of your application, in the order of priority based on our TASC Allocations Policy. Please allow 28 days for your application to be processed. If you encounter any technical issues please email elaine.tasc@gmail.com as soon as possible so that we can timestamp your attempt to apply. We will get back to you as soon as possible but it may not be same day. All the best, Becky Wills (TASC Manager) and the TASC team becky.tasc@gmail.comUpload file *Choose FileNo file chosenDelete uploaded fileUpload a photo of your childName of Primary Contact while Child is at TASC (Parent/Carer of Child) *Primary Contact Phone *Email *Child's detailsFirst name *Surname *What they like to be calledDate of Birth *Age when they hope to be at TASCSchool Year Group (when they hope to be at TASC) and name of class if known *First LanguageParent/Guardian DetailsFull Name *Street Address *CityPost CodeDoes the child normally live at this address?YesNoMain Phone Number *Re-enter Main Phone Number *Any other Phone NumberEmail Address *Does this person have parental responsibility? *YesNoParent/Guardian DetailsFull NameStreet AddressCityPost CodeDoes the child normally live at this address?YesNoMain Phone NumberRe-enter Main Phone NumberAny other Phone NumberEmail AddressDoes this person have parental responsibility?YesNoEmergency Contact DetailsPlease provide details of two people (not parents/carers listed above) we can contact in an emergency if we are unable to get hold of youName *Phone number *Re-confirm Phone number *Street AddressCityPost CodeRelationship to Child *Does this person have your permission to collect your child? *YesNoEmergency Contact 2NamePhone numberRe-confirm Phone numberStreet AddressCityPost CodeRelationship to ChildDoes this person have your permission to collect your child?YesNoOther Important Adults (who may pick up/drop off your child)NamePhoneRelationship to childDoes this person have your permission to collect your child?YesNoAbout Your ChildWhat are your child's favourite activities?Is there anything your child doesn't like (food, games, etc) or is scared of?Please detail any additional/special needs your child has.We appreciate any information about your child that will help us to give your child the best care possible (for example please tell us if they receive extra help at school or are undergoing a diagnosis or if there are family issues that may affect your child)If your child has a medical condition please fill out the Additional Medical Information FormPlease detail any dietary requirements / food allergiesIf your child has an allergy please fill out the Additional Medical Information FormChild's Doctor/Practice *Doctor's Phone Number *Booking SessionsTASC registration requires you to book your child into regular sessions each week of term-time. Once your TASC Membership fee has been paid and your application has been accepted you will be invoiced monthly for your fees. (Most families find it convenient to set up a Standing Order for 11 months from August - June) There is a 1 month notice period required when cancelling a booked session. What is your requested start date *Breakfast Club: Mondays 8am - school start £4.40Breakfast Club: Tuesdays 8am - school start £4.40Breakfast Club: Wednesdays 8am - school start £4.40Breakfast Club: Thursdays 8am - school start £4.40Breakfast Club: Fridays 8am - school start £4.40After School Club: Mondays after school - 5.45pm £9.40After School Club: Tuesdays after school - 5.45pm £9.40After School Club: Wednesdays after school - 5.45pm £9.40After School Club: Thursdays after school - 5.45pm £9.40After School Club: Fridays after school - 5.30pm £14.40Please book my child in for the days and times indicated above. I will let you know in advance if my child will not be attending a booked session. I understand that the Club cannot give refunds for any sessions that I have booked but which my child does not attend. Signed *Today's Date *Membership Fees DeclarationI understand that in order to register with TASC and be allocated a place for my child at any TASC session I must pay £15 per child Membership Fee. *I declare that I have paid the fee by Bank Transfer to Bank of Scotland TOWERBANK AFTER SCHOOL CLUB LIMITED Business Account SORT CODE 80-22-60 ACCOUNT NUMBER 24891068 (If we are not able to offer your child a place and you do not want to remain on a waiting list for places, your fee will be refunded)So that we can identify your payment, please indicate the name used as Reference when paying your fee by Bank Transfer *Permissions: PhotographsPhotographs: The use of photographs is an important developmental tool which is widely used in play and educational settings for recording, sharing and displaying activities that your children have undertaken. At TASC we take the issue of child protection very seriously and we would never knowingly publish an image of your child without your consent. We require a photograph of each child for their confidential Care Plan which is only used by staff to aid quick recognition.Observation and assessment of my child’s progressElectronic and printed displays and exhibitions at the ClubTo accompany staff or student courseworkRegular Club Mailing to Parents/CarersClub’s official websiteClub’s official social media (Facebook) accountPromotional material for the Club (eg flier, advert, poster)Local newspaper or magazineNational newspaper or magazineOther organisation’s promotional material or websiteOtherPersonal details or names of any child in a photograph will never be given in such a way that would allow them to be individually identified (except when used in the child’s own records). I understand that this image will NOT be used for anything which may be viewed as negative in tone or that may cause offence, embarrassment or distress for the child or their parent or carer. I understand that there will be no payment for my child’s participation. As the parent or carer of the child named above, I grant permission for images of my child to be used for the stated purposes as agreed above.Signed *Todays' Date *Permissions: Outings, Sun Protection and Sharing Information with Towerbank SchoolAs a regular part of your child’s involvement with the Club they may take part in a range of activities outwith the Club’s premises, e.g. walks, visits to local parks, beach, museums and cinema. The outing may involve travel by public transport or coach.I agree that my child can take part in the regular programme of activities organised and supervised by staff at the Club.I give permission for my child/children to watch PG films deemed suitable by staff at the Club for viewing with the group of children present.TASC is concerned about protecting your child from sunburn and skin damage.As Parent/Carer I will provide a suitable hat, such as a legionnaire’s hat or sunhat on sunny days and pre-apply sunscreen to any exposed parts.With your consent we will also help your child apply sunscreen when necessary (based on UV index checks)I am happy for my child to have sunscreen applied at TASC.I am happy for my child to use the sunscreen provided by the Club.If not I will provide a bottle of sunscreen labelled with my child’s name for use at the Club.We take a holistic approach to caring for your child. From time to time it can be helpful to us to share information with school management, class teachers, learning assistants or other staff at Towerbank School.I give permission for TASC to confidentially, appropriately and sensitively share information/ discuss the needs of my child with relevant staff at Towerbank SchoolAs the parent or carer of the child named above, I grant the permissions indicated above for my child. Signed *Today's Date *Additional Medical InformationPlease complete if your child has a medical issue or allergyWhat is your child's medical condition/allergyHow severe is the illness/allergy?What special precautions do we need to take with your child’s illness/allergy?What symptoms/signs or triggers should we be looking out for in your child?What is your suggested emergency procedure?What medication is given for this condition (if any)?Will TASC need to hold any medication to be administered if needed during sessions?YesNoIf yes, you will be required to bring in any medication before your child's first session at TASC and complete a Medication Permission Form signed by parent/carer and TASC staff. We will contact you to arrange thisI agree to the above and confirm that it is a true and complete representation of my son/daughter’s requirements.SignedToday's DateRegister