Chucklebox out of School Club - Holiday Booking Form

Chucklebox out of School Club - Holiday Booking Form

Chucklebox Children’s Club

CHUCKLEBOX CHILDREN’S CLUB - GENERAL INFORMATION

Chucklebox out of school club is registered with Ofsted and was established in 1990.

50% of staff are qualified or have relevant childcare experience & all are police checked. The experienced and qualified staff to child ratio is as requested by OFSTED. At least 50% of our staff has a first aid certificate.

A minimum of a 5 hour session maybe booked for one to five days. Payment and the booking form must be submitted together. Payments may be sent or brought to the Chucklebox staff at West Wickham after school hours. Please make Payments and booking as soon as possible. Please telephone the office on 020 8777 0218 and leave a message or 07801 228655 to check availability and to reserve a place. This must be done prior to the day. When the club is open you may call 07914 480907 or 07801228655 for all communication.

SORRY, WE ARE UNABLE TO GIVE REFUNDS FOR DAYS BOOKED BUT NOT ATTENDED.

The club is held at the Hawes Down Centre, Hawes Lane, West Wickham, BR4 9AE. SPACIOUS SECURE PREMISES.

I would be grateful if you could remind staff in the morning of any allergies to food, wasp stings to ensure it is on the allergies list.

Holiday clubs take place every school holiday and we also provide Breakfast and after school clubs serving several schools in the area.

Children enjoy a varied and exciting programme including construction play, sports, games, cooking, arts and crafts bouncy castle, day trips and lots more fun in our well-equipped premises. Please see the enclosed timetable. All of the children are positively encouraged to join in and try the activities on offer as listed on the time table, however if a child is unhappy with the activity and would prefer an alternative e.g. Board game, construction play this will be offered. Chucklebox Children’s Club policy is to promote an enjoyable safe and secure environment where care is tailored to the individual.

Chucklebox policies are available to view please ask.

Parents are requested to send children in old, labelled clothes, and it is advisable that children do not bring their own toys or collectors cards to the club, as we cannot be held responsible for any loss or damage.

Please note that registration is from 7.55 a.m.

Should your child display severe behavioural difficulties or have a severe disruptive effect on the rest of the group we will firstly try our utmost to support the child and if it has no positive outcome, the club reserves the right to withdraw your child with a refund for outstanding monies forwarded by post. These measures will only be taken if all other measures to improve behaviour have been exhausted.

PLEASE PROVIDE A PACKED LUNCH

It is advisable that the children have an ice pack in their packed lunch to keep their food fresh. Please provide a drink for lunch times. (Please note that foods and snacks that require heating should not be brought. i.e. pot noodle etc). No peanut butter sandwiches or nut products as we have several children attending the club with severe allergies.

LATE COLLECTION

Whilst every effort is made to accommodate parents, we ask that children are collected promptly at 6 pm or a £5 charge will be incurred for the first quarter of an hour thereafter £10 per quarter of an hour, payable on that day.

Cheques should be made payable to the Chucklebox with the child’s name written on the back. Please bring or send to our main office open 9 to 1 pm. The address is:

THE HAWES DOWN CENTRE, HAWES LANE, WEST WICKHAM, KENT, BR4 9AE

FOR FURTHER DETAILS PLEASE CONTACT US ON: 020 8777 0218

CLUB MOBILE no: 07914 480907 OR 07801 228655 DURING CLUB HOURS

PLEASE RETURN FORMS BY RETURN PLACES ARE ALLOCATED ON A FIRST COME FIRST SERVED BASIS

PLEASE BRING CASH ON THE DAY FOR TRIPS & ENTERTAINERS. WE CANNOT GUARANTEE A PLACE IF WE HAVE NOT RECEIVED YOUR BOOKING.

PLEASE REMEMBER TO CALL THE OFFICE TO CHECK AVAILABLE SPACES ONE WEEK PRIOR TO THE CLUB OPENING DATE. THANK YOU

Christmas Holiday Booking Form

Separate booking forms must be used for friends.

Child’s Name: ______Date of Birth: ______Age: ____
Child’s Name: ______Date of Birth: ______Age: ____

Child’s Name: ______Date of Birth: ______Age: ____

Child’s School: ______

Parent’s/Guardian’s Name: ______

Address: ______

______Post Code: ______

Home Tel: ______Work Tel: ______

Mob No: ______e-mail: ______

Emergency Details.

Family Doctor: ______Tel No: ______

Please list any details concerning your child/ren, which you feel we should know about e.g. allergies, illnesses. Please provide as much information as you can to ensure your child is accommodated for. If your child wears glasses and requires wearing them during sport please list it. We cannot be held responsible for damage or injury occurring from breakages.

Note: Please inform the leader if your child has allergies or cannot eat a type of food for any reasons. Also please inform the leader if your child is not allowed face paints.

If your child has a disability or an additional need please complete a one page profile & additional form, this will not be required if you have previously completed one. Please return the form as soon as possible to ensure we are able to offer adequate additional support if required.

______

______

In case of emergency I understand that attempts will be made to contact me or my emergency contact as listed below.If I cannot be reached I give permission for medical advice to be sought for my child.

Emergency Contact If Parent Cannot Be Reached.

Name: ______Relationship: ______
Phone number(s):
______/______/______

Security Information

Names of persons who are allowed to collect your child(ren) from the club:

1)______2)______3)______

Password for collecting your child:______

Do you give permission for your child(ren) to take part in off-site activities? Yes [ ]No [ ]

Do you give permission for photographs of your child(ren) to be used within the club? Yes [ ] No [ ]

Signed: ______Date: ______

Please Tick Boxes for Times and Days Attending

Times / Wednesday
2nd January 13 / Thursday
3rd January 13 / Friday
4th January 13 / Monday
7th January 13
8am - 6pm
9am - 5pm
8am - 1pm (A)
9am - 2pm (B)
10am - 3pm (C)
1pm - 6pm (D)
Week 1 / Event / Age Req / Details / Price / Tick
Wednesday / Quasar
15 Places / +7 / Find your opponent in the dark! Awesome laser shootout games; come and enjoy the fun of two great games, compare your target skills with your friends. Includes drinks. Travelling by minibus. / £15
Thursday / Swimming
12 Places / +7 / Child must be a confident swimmer (able to swim 25meters without aid). Staff and children will walk to the swimming pool at West Wickham. Bring swim wear and a towel as well as £1 for the locker / £4
Friday / Gambado
15 Places / Any / Travelling by minibus to this fun indoor play park. Children will be able to play games, use the play area with swings, crash in the ball pits, drive dodgems & explore. / £12.50
Monday / Bowling
15 Places / 6+ / The children will be travelling by minibus to Valley Park leisure complex bowling centre to enjoy 2 games of bowling followed by a meal and a drink included in the price. No packed lunch needed / £15
Thursday,
Friday / Warhammer / +7 / An incredibly fun activity just for the older children. They get to socialise with each other whilst painting Warhammer figures. £3.50 includes one normal size figure, paint, and glue for it. / £3.50

Example Timetable

Wednesday
2nd January 13 / Thursday
3rd January 13 / Friday
4th January 13 / Monday
7th January 13
Optional / Optional / Optional / Optional
Bowling
Quasar / Swimming / Gambado
Registration from 7.55am
Breakfast
Free Play, Games, Crafts / Breakfast
Free Play, Games, Crafts / Breakfast
Free Play, Games, Crafts / Breakfast
Free Play, Games, Crafts
Outdoor Free Play Drinks & Snack Time 10:30am
This is the main part of the day where most children are on trips or are doing the activities listed in the table above.
Lunch from 12.15pm
Sports, Painting & Cooking / Sports, Painting & Cooking / Sports, Painting & Cooking / Sports, Painting & Cooking
Fun Games, Snooker & Bouncy Castle / Fun Games, Snooker & Bouncy Castle / Fun Games, Snooker & Bouncy Castle / Fun Games, Snooker & Bouncy Castle
Tea Time Break
Hot Snack &
End of day activities / Hot Snack &
End of day activities / Hot Snack &
End of day activities / Hot Snack &
End of day activities

PLEASE NOTE AS PLACES FOR TRIPS ARE LIMITED.THIS FORM WITH PAYMENT MUST BE RECEIVED IN ADVANCE TO GUARENTEE TRIP SPACES. ALL SPACES BOOKED MUST BE PAID FOR AND ARE NON-REFUNDABLE.

1 child per day / 8am - 6pm / £32
2 or more siblings per day (each) / 8am - 6pm / £29
1 child per day / 9am - 5pm / £25
1 child per half day / 8am - 1pm (A)
9am - 2pm (B)
1pm - 6pm (C)
10am - 3pm (C) / £16
2 or more siblings per day (each) / 9am - 5pm / £22.50
2 or more siblings per half day (each) / 8am - 1pm (A)
9am - 2pm (B)
1pm - 6pm (C)
10am - 3pm (C) / £15
Discount if 5 days are booked / 9am - 5pm or 8am-6pm / £5 discount / N/A
Cash to be paid for events / Amt due £ / Total
Total payment for week excluding trips / £ / Total / £

If your child has a disability or additional need and require sessions that support their needs (other than the above) please ring Joy on 020 8777 0218 to discuss further.

Please Bring Payment in Cash on the Day for Trips and Specials – DO NOT ADD TO CHEQUES

I agree to the following Terms & Conditions
  • I will supply my child with a packed lunch and drink daily
  • I will pay for my child’s place in advance to secure the session. Late booked places must be paid for on the day of attendance.
  • Payments can be made by cheque, cash, childcare vouchers or card machine. Proof of payment must be brought or sent to us.
  • Any amounts of outstanding payments to us will be transferred to our Debt Collecting Agency. Charges will be added to the amount of overdue plus costs incurred to us. We will proceed with legal action to recover payment owed.
  • It is important to inform the staff at Chucklebox when my child is not attending the setting as previously booked.
  • I will supply information regarding personal matters that may affect the child’s behaviour so that we may accommodate care for your child.
  • I will telephone the setting on 07801228655 or 07914480907 if the regular collector of your child is not able to do so. I understand my child will not be able to leave the setting without the parent’s permission.
  • The company reserves the right to revoke a child’s place on the grounds of persistent anti social behaviour affecting the well being of other children, staff or the club in general. These measures will be taken if all other measures to improve behaviour have been exhausted.
  • All days booked must be paid for.This includes trips, unless we can fill spaces on the day.
  • Unfortunately we are unable to give refunds if adverse weather conditions occur e.g: snow.
  • We are unable to give refunds for days booked but not attended. These include unforeseen circumstances & weather conditions.
  • Charges are as stated on our Payments & Charges booking form. Late payments will incur in an extra charge of 10%. Children will be excluded from the setting until payment has been given.
  • If I arrive later than 6:00pm I will incur a payment charge of £5. From 6:10pm onwards this will increase to £10 every 15 minutes, payable on the day of collection.
  • In case of emergency I understand that attempts will be made to contact me or my emergency contact as stated on my registration form.