June 1, 2015

REF: YPASF2015JULY-DEC

Dear ILEAP Member / Supporter,

Please find enclosed an Activity Selection Form for the Summer Holidays, the term time activities for the period September - December 2015 and the October Half Term Holiday. Please return your choices at your earliest convenience.

If you would like to attend a session then please highlight your choices. Do not send in any payments at this stage.

On receipt of this form we willallocate you a place at your chosen activity and send you further information if required. We will then send you a personalised leisure plan and invoice confirming your choices and highlighting any changes, cancellations or alterations.

You will be invoiced separately for any 1:1 work and any transport that you have requested for this term after you have received it. Please see the payment and cancellation policy for further information at our website

If you are celebrating your Birthday during this period, ILEAP will be happy to incorporate Birthday Parties into our busy programme. All we ask for is plenty of notice and a donation to help us to continue our great work.ILEAP will take care of all the organising and will make sure the session is a memorable one for your V.I.P.

Did you know that you can now organise your own sponsored events and fundraise for the Charity at

You can also look super cool whilst taking part in your ILEAP Activities, by purchasing ILEAP merchandise from

We look forward to hearing from you, and if you have any queries or concerns, please do not hesitate to contact us.

Don’t forget we operate a first come first served service, so act quickly to secure your place.

Yours Inclusively

Peter Bazeley

ILEAP Manager

FEES AND PRICES FOR AUGUST 2015 – JULY 2016

Our Charges for Members (August 2015 – July 2016.)

  • There is an annual subscription of £10 per year to join the Charity. Members are entitled to discounts at our group sessions and can receive 1:1 support. The membership fee will cover the period August 2015 – July 2016. This fee will be added to your next relevant invoice.

(The membership fee will go towards the Charities cost of insurance, printing, stationery and postage etc.)

  • Our group activity sessions are subsidised through our charitable income. Please refer to your chosen group activity for the relevant price.
  • If you are supplying your own DBS checked 1:1 worker, we can offer you up to a 50% reduction on some of our group rates. Please contact us for details. If you choose to have an ILEAP 1:1 worker then we will waive our group rates completely.
  • Once you receive your leisure plan confirming your chosen sessions, we will have paid for venues and allocated staff to work and therefore we will require payment prior to the session. If you need to cancel please give as much notice as possible (48hrs minimum) and we will return your payment via BACS or you can use it as a credit towards future sessions.
  • Members who request 1:1 assistance with an ILEAP Youth Worker / Support Friend will be charged a rate of £15 per hour and will be invoiced separately. Any group fees will be waived for those using ILEAP 1:1 staff, during ILEAP group sessions. (Those attending ILEAP group sessions with their own DBS checked 1:1 may be eligible for reduced rates, please contact us for further details.)

For 1:1 work, invoices will need to be paid within 14 days for the 1:1 work to continue.

(Subsidise may be available, depending upon your age, where you live, your disability and our current grants and funding. We will discuss this with you on receipt of your registration form.)

  • Members who request transport to and from their chosen activity with an ILEAP Youth Worker will be charged a fee of £0.48p per mile for this service + Support Staff time.

(Transport cannot always be arranged.)

  • You can raise money for the ILEAP Charity and look super cool whilst taking part in your ILEAP Activities, by purchasing ILEAP merchandise from

IMPORTANT – PLEASE READ
If you receive Direct Payments, Personalised Budgets then you can use these to pay for our services
If you require 1:1 support and you supply your own DBS checked worker then we can offer you, up to a 50% reduction on some of our group rates.
If you require ILEAP 1:1 support at your chosen activities then our 1:1 rate (£15 p/hr) will apply (the group fee will be waived).
If you require ILEAP 1:2 support then our 1:2 rates (£10 per /hr) will apply and the group rate will be waived.
NAME OF PARTICPANT:
CONTACT TELEPHONE NUMBERS: / Tel: / Mob:
EMAIL ADDRESS: Important
ADDRESS:
DATE OF BIRTH: / AGE AT LAST BIRTHDAY:
DISABILITY AS KNOWN BY PARENT / CARER
IF WE HAVE TO CANCEL A SESSION DUE TO
BAD WEATHER ETC,
WE WILL RETRURN YOUR PAYMENT VIA BACS / ACCOUNT NAME:
SORT CODE:
ACCOUNT NUMBER:
YOUR ETHNIC ORIGIN:
WHERE DO GO TO SCHOOL / COLLEGE / WORK
Do you require 1:1 support at your chosen activity / YES / No
If you are supplying your own 1:1 worker we will require their Name and the DBS Enhanced Disclosure number / Name of your personal 1:1 Worker
DBS number
Do you need to take medication at the activity?
Additional forms will be sent and 1:1 rates may apply / YES / NO / Please provide additional information on Page 16.
Do you need assistance to go the toilet?
Additional forms will be sent and 1:1 rates may apply / YES / NO / Please provide additional information on Page 16.
Do you need assistance with moving and handling?
Additional forms will be sent and 1:1 rates may apply / YES / NO / Please provide additional information on Page 16.
Do you have Epilepsy?
Additional forms will be sent and 1:1 rates may apply / YES / NO / Please provide additional information on Page 16.
Do you have any special dietary requirements or allergies?
Additional forms will be sent / YES / NO / Please provide additional information on Page 16.
Do you consider yourself to have Challenging Behaviour?
Additional forms will be sent and 1:1 rates may apply / YES / NO / Please provide additional information on Page 16.
Become and ILEAP Fundraiser
You can organise your own fundraising events or donate money for ILEAP at
Please contact us if you need any help or advice regarding ideas for fundraising events.
We can send you fundraising packs and sponsorship forms and help you to raise money.

ILEAP Member Activity Selection Form July – December 2015.

1

Section 1:If you would like to take part in the ILEAP group programme then please check that you meet the age requirements and highlight the sessions that you would like to attend. We will then confirm your choices and send you a personalized leisure plan and invoice, highlighting any changes, and confirming details.

Week 1
Summer Holiday / Time of
Session / Cost of Session / Activity / Additional Info / Venue / Age
Range / Please tick
to request
a place
Sunday 19th July / 9am -5pm approx / £55
(includes care, transport & entrance) / ILEAP Day Trip to the sea side at Weston Super Mare / Minibus from Roundoak School & Stratford / Seaside Trip to Weston Super Mare,
Good old fashioned sea side fun and games. Visit the Pier, Donkey Rides, Sandcastle Competition, ice cream, slot machines / 8 years and over
Sunday 19th July / 4pm -5pm / £5 / ILEAP INTO HEALTH AND FITNESS IN THE GYM / We are waiting to hear from SLVC regarding this session and will confirm via your leisure plan once we hear. / Stratford Leisure and Visitor Centre,
Bridgefoot, Stratford-upon-Avon,
Warwickshire
CV37 6YY / 16 years and over
Sunday 19th July / 5.30pm -6.30pm / A free Family Swim Session / ILEAP into Action Unlimited Swimming / Stratford Leisure and Visitor Centre,
Bridgefoot, Stratford-upon-Avon,
Warwickshire
CV37 6YY / All Ages
Monday
20th July / 10.15am -12.45pm / £15
(includes swim) / ILEAP Morning Monday
Refreshing Swim
Swim Races & Pool Games / Bring your swim kit and some £ for the café. / Abbey Fields Swimming Pool
Bridge Street
Kenilworth
CV8 1BP / 8 years and over
Monday
20th July / 1pm – 3.30pm / £15 / ILEAP Summer Launch Party & Disco.
“Lets Get the Party Started!”
Party Games
Disco / Karaoke / Hawaiian Fancy Dress Optional / Kenilworth Youth Centre
Abbey End Car Park, Kenilworth,
Warwickshire CV8 1JP
Upstairs / 8 years and over
Monday
20th July / 6.30PM -8.30PM / £10 / ILEAP Kenilworth Karaoke.
Top Tunes / Prizes
Fancy Dress Box
Boy vs Girl Band / Bring optional £ for a takeaway Pizza or Subway / Kenilworth Youth Centre
Abbey End Car Park, Kenilworth,
Warwickshire CV8 1JP / 12 years and over
Tuesday
21st July / At the request of one of our Members, there are no sessions today as ILEAP Staff & Volunteer are taking part in Autism Awareness Training
Week 1 Cont
Summer Holiday / Time of
Session / Cost of Session / Activity / Additional Info / Venue / Age
Range / Please tick
to request
a place
Wednesday
22nd July / 10.30am – 2.30pm / £22.50
(Includes swim) / ILEAP into the Southam Swim and Chill Session Swim.
A refreshing swim, followed by art or park chillax time. / Bring your swim kit and a packed lunch / Drop Off and Southam Leisure Centre.
Pick Up Southam College
Welsh Road West,
Southam,
Leamington Spa,
CV47 OJW. / 8 years and over
Thursday
23rd July / 11.30am -1.15pm / £15
(Includes swim) / Stratford Swim and Café Visit / Bring swim kit
We are waiting to hear from SLVC regarding this session and will confirm via your leisure plan once we hear.
If not available the session will take place at St Nicholas Park in Warwick 10.15am -2pm / Stratford Leisure and Visitor Centre,
Bridgefoot, Stratford-upon-Avon,
Warwickshire
CV37 6YY / 12 yrs and over
Thursday
23rd July / 1.30pm -3.30pm / £10 / Stratford After Swim Chill Out Zone:
U Choose Activities / King Edward School,
Chapel Lane
Stratford-upon-Avon
CV37 6HB / 12 yrs and over
Friday
24th July / 10.30am
12.30pm / £16.50 / Strike it Lucky @
ILEAP Ten Pin Bowling / 2 games of Bowling and a meal / Ten Pin 10 Leamington Spa,
Shires Retail Park,
Leamington Spa
/ 8-17 years
Friday
24th July / 1.00pm – 3pm / £16.50 / Strike it Lucky @
ILEAP Ten Pin Bowling
(2 games and a meal.) / 2 games of Bowling and a meal / Ten Pin 10 Leamington Spa,
Shires Retail Park,
Leamington Spa
/ 18 years and over
Saturday
25th July / 12noon -3pm / £15 / ILEAP Healthy Living Saturday Club
Arts & Crafts
Sports & Games
Music & Dance / Bring a packed Lunch / Stratford Community Sports Centre,
Alcester Road,
Stratford-upon-Avon
CV37 9DH / 8 years over
Week 2
Summer Holiday / Time of
Session / Cost of Session / Activity / Additional Info / Venue / Age
Range / Please tick
to request
a place
Sunday
26th July / 9am -5pm approx / £55
(includes care, transport & entrance) / ILEAP Day Trip to West Midlands Safari Park / Minibus from
Roundoak School / West Midlands Safari Park / 8 years and over
Sunday
26th July / 4pm -5pm / £5 / ILEAP INTO HEALTH AND FITNESS IN THE GYM / We are waiting to hear from SLVC regarding this session and will confirm via your leisure plan once we hear. / Stratford Leisure and Visitor Centre,
Bridgefoot, Stratford-upon-Avon,
Warwickshire
CV37 6YY / 16 years and over
Sunday
26th July / 5.30pm -6.30pm / A free Family Swim Session / ILEAP into Action Unlimited Swimming / We are waiting to hear from SLVC regarding this session and will confirm via your leisure plan once we hear. / Stratford Leisure and Visitor Centre,
Bridgefoot, Stratford-upon-Avon,
Warwickshire
CV37 6YY / All Ages
Monday
27th July / 10.15am -12.45pm / £15
(includes swim) / ILEAP Morning Monday
Refreshing Swim
Swim Races & Pool Games / Bring your swim kit and some £ for the café. / Abbey Fields Swimming Pool
Bridge Street
Kenilworth
CV8 1BP / 8 years and over
Monday
27th July / 1pm – 3.30pm / £12.50 / ILEAP Summer Big Chill Youth Club / 12 Volunteers from THE SPORTS TEAM CHALLENGE will be helping out from 1pm -3.00pm / Kenilworth Youth Centre
Abbey End Car Park, Kenilworth,
Warwickshire
CV8 1JP / 8 years and over
Monday
27th July / 6.30PM -8.30PM / £16.50 / Strike it Lucky @
ILEAP Ten Pin Bowling
(2 games and a meal.) / 2 games of Bowling and a meal / Ten Pin 10 Leamington Spa,
Shires Retail Park,
Leamington Spa
/ 14 years and over
Tuesday
28th July / 9.30am -1pm / £25
(includes all day entry) / ILEAP to Hatton Country World for some Summer Fun & Frolics / Feed the animals and take part in the Hatton Activities. / Hatton Country World,
Dark Lane, Hatton, Warwick CV35 8XA / 8 years and over
Week 2 Cont
Summer Holiday / Time of
Session / Cost of Session / Activity / Additional Info / Venue / Age
Range / Please tick
to request
a place
Tuesday
28th July / 1.00pm – 4pm / £25
(includes swim & golf) / ILEAP for Golf, Grub & Goggles
Pitch & Put Golf (1.00pm – 2.30pm)
Picnic (2.30pm -3pm)
Fun Swim (3.00pm -4pm) / Volunteers from THE SPORTS TEAM CHALLENGE will be helping out from 1pm -3.00pm / Newbold Comyn Golf Course,
Newbold Comyn Arms,
Newbold Comyn Swim Pool,
CV324EW / 8 years and over
Tuesday
28th July / 10am -11.30am
Approx. Exact Times TBC / £15
(includes cinema entrance) / ILEAP to the Cinema with ILEAP Movies & Mosaics
Pictures & Pottery / If you have a CEA Card please write the number here:
Stay for Pottery and get support over lunch, / Vue Cinema Portland Place, Leamington Spa, Warwickshire CV32 5ET
Film and exact times will be confirmed nearer the time. / 8 years and over
Tuesday
28th July / 12noon – 2.30pm / £12.50
(Bring £ for pottery choice) / ILEAP into Pottery / Mosiac Craft Session at the Potter In Craft Studio / Visit their website for pottery / mosaic choices.
Bring a packed lunch and a drink. / Potter In Craft Studio, Augusta Place, Leamington Spa, CV82 5EL
The disabled toilet is out of action so we will use the cinema toilet if necessary. / 8 years and over
Wednesday
29th July / 10.30am – 2.30pm / £22.50
(Includes swim) / ILEAP into the Southam Swim and Chill Session Swim.
A refreshing swim, followed by art or park chillax time. / Bring your swim kit and a packed lunch / Drop Off and Southam Leisure Centre.
Pick Up Southam College
Welsh Road West,
Southam,Leamington Spa,
CV47 OJW. / 8 years and over
Wednesday
29th July / 6.30PM -9PM / £10 / ILEAP to Stratford Midweek Meal for
Food, Friendship & Fun / Bring £ for meal & drinks
(we will pass on any group discounts / meal vouchers) / The Four Alls, Welford – ON –Avon / 16 years and over
Wednesday
29th July / 6.30PM -9PM / £10 / ILEAP to Warwick Midweek Meal for Food, Friendship & Fun / Bring £ for meal & drinks
(we will pass on any group discounts / meal vouchers) / The Unicorn, 64 Hardwick Field Lane,
Warwick, CV34 6LN / 16 years and over
Thursday 30th July – Sunday 2nd Aug / Thursday 12noon – Sunday 4pm approx / £399
(to include Care, Food, Accommodation, Activities & Transport) / ILEAP to the Seaside for Bournemouth 2015 3 night Holiday.
1 ILEAP Staff : 2 members
4 staff : 8 members
Further info will follow.
(Own ENSUITE Rooms) / We will be staying in the centre of Bournemouth in the Student Village.
(Bedding, towels, wifi, own ensuite room included,) /
Please contact us if you would like to have a chat about this opportunity.
(2 sets of 6 single ensuite rooms with shared kitchen. and lounge. 2 Staff and 4 members in each block.) / 16 years and over
Week 2 Cont
Summer Holiday / Time of
Session / Cost of Session / Activity / Additional Info / Venue / Age
Range / Please tick
to request
a place
Thursday
30th July / 10.15am -12.00noon / £12.50
(includes swim) / Swimming @ St Nicholas Park
Staff will meet you at the Barrier @ 10.15am / Bring Swim Kit / St Nicholas Park Leisure Centre, St Nicolas Park Warwick / 8 years and over
Thursday
30th July / 12noon -2pm / £13
(Includes Lunch
Jacket Potato etc) / The Warwick Big Chill
Staff will meet you at the Barrier @ 2pm / Jacket Potato Cheese & Beans Included
(Let us know if not suitable) / The Café @ St Nicholas
12noon -12.45pm
The Sports Hall St Nicholas Park
1pm -2pm Bring a Drink / 8 years and over
Friday
31st July / 10.30am
12.30pm / £16.50 / Strike it Lucky @
ILEAP Ten Pin Bowling / 2 games of Bowling and a meal / Ten Pin 10 Leamington Spa,
Shires Retail Park,
Leamington Spa
/ 8-17 years
Friday
31st July / 1.00pm – 3pm / £16.50 / Strike it Lucky @
ILEAP Ten Pin Bowling
(2 games and a meal.) / 2 games of Bowling and a meal / Ten Pin 10 Leamington Spa,
Shires Retail Park,
Leamington Spa
/ 18 years and over
Saturday
1st Aug / 12noon -3pm / £15 / ILEAP Ladies Pamper Club
Nail Bar, Magazines, Foot Spa, Hair Design, Make Up Tips / Bring a packed Lunch / Stratford Community Sports Centre, Alcester Road, Stratford-upon-Avon / 12 years over
Saturday 1st Aug / 12noon -3pm / £15 / ILEAP 1 4 the Boys, Lads Club
Sports, Films, Games, Swimming / Bring a packed Lunch / Stratford Community Sports Centre, Alcester Road, Stratford-upon-Avon / 12 years over
Week 3
Summer Holiday / Time of
Session / Cost of Session / Activity / Additional Info / Venue / Age
Range / Please tick
to request
a place
Sunday
2nd Aug / 4pm -5pm / £5 / ILEAP INTO HEALTH AND FITNESS IN THE GYM / We are waiting to hear from SLVC regarding this session and will confirm via your leisure plan once we hear. / Stratford Leisure and Visitor Centre,
Bridgefoot, Stratford-upon-Avon,
Warwickshire, CV37 6YY / 16 years and over
Sunday
2nd Aug / 5.30pm -6.30pm / A free Family Swim Session / ILEAP into Action Unlimited Swimming / Stratford Leisure and Visitor Centre,
Bridgefoot, Stratford-upon-Avon,
Warwickshire, CV37 6YY / All Ages
Monday
3rd Aug / 10.15am -12.45pm / £15
(includes swim) / ILEAP Morning Monday
Refreshing Swim
Swim Races & Pool Games / Bring your swim kit and some £ for the café. / Abbey Fields Swimming Pool
Bridge Street, Kenilworth
CV8 1BP / 8 years and over
Monday
3rd Aug / 1pm – 3.30pm / £12.50 / ILEAP Summer Big Chill Youth Club / Disco / Sports / Arts / Games / Kenilworth Youth Centre
Abbey End Car Park, Kenilworth,
Warwickshire CV8 1JP / 8 years and over
Monday
3rd Aug / 6.30PM -8.30PM / £10 / Kenilworth Rock & Roll Bingo