Registration Form

Register your child today and become part of our club.

We’re delighted to welcome new families. Our club provides a friendly, safe and supportive environment where children can learn new skills, make friends and have fun.

About the Child

You are required to produce your child’s birth certificate before their first day at Superkids.

Child's First Name *

Class * Please specify as per the school assignment; for example 1L or Reception-Blue.

Is this child the subject of a court order? (If Yes, please provide a copy of the Order) *

About the primary carer

Parent Name (Full name and Title) *

Do you have parental responsibility? *

Relationship to child: *

Home Address and Post Code: *

Your child’s emergency contact

First Alternative Emergency contact: Does this person have parental responsibility? *

Relationship to child: *

Home Address and Post Code: *

Second Alternative Emergency contact: Does this person have parental responsibility? *

Relationship to child: *

Home Address and Post Code: *

Please state who will be collecting your child

Main Carer

Emergency contact #1

Emergency contact #2:

Collection Password *

Medical, Allergy and Dietary

Medical Details: This information is essential for us to provide the correct support for your child.

Does your child have any allergies or dietary? (if yes please state) * If your child is not allowed to eat or drink specific products please state them.

Does your child have any medical conditions? *

Does your child take any medication? (If yes, please contact us for a medication form) * Superkids can only aid children in the use of prescription medication. Never leave medication inside a child's bag

Does your child have a health care plan? *

Does your child have any additional needs? *

Please give details of medical condition and support required

Name & Address of GP: *

Name & Address of Dentist: *

Name of Health Visitor or Social Worker: *

Photograph consent

Superkids would like to include photographs of children participating in all types of activities at Breakfast, After School and Holiday Playscheme club. These photos would be used for: Your child’s one-page profile, internal display boards and notice boards, communication book and club photo book.

Photos WILL NOT be published on our website or used for publicity purposes without your expressed consent.

Photograph consent - Signature Required * Parent / Carer Consent: I have read and understood the conditions under which photos of my child may be used. I have noted that I can withdraw my consent in writing at any time.

Do you give consent for Superkids to include photos of your child as outlined above Please note: The team will require a passport sized photo of any children with allergies or food intolerances. *

Session Type & Payment Information

Term Time Start Date:

How will you pay for your booking? *

Terms and Conditions * YOUR ACCEPTANCE OF THESE TERMS AND CONDITIONS By submitting your booking, you are agreeing to the terms and conditions

Declaration: (Signature and Date required) * • I hereby consent for my child to take up a place at this setting, according to the terms and conditions and its policies and procedures. I have understood that places are allocated on a first come first served basis on receipt of this Registration form. I understand the expectations and obligations relating to both myself and the setting and agree to abide by them. • I confirm that the information given above is correct and I promise to contact the manager in writing as soon as any of the details change. • I agree that my child will conduct themselves according to the standards of behaviour set out by Superkids and will abide by safety instructions given by staff. • I understand that Superkids has a duty of care and may discuss my child’s development with the School or other Professional Agencies to ensure my child’s needs are fully supported. • I understand that persistent late or non-payment of fees or late collection of my child after the published club closing time will incur a late charge and will jeopardise my child’s continued attendance at the setting. • I understand that all pre-booked or set days remain payable during any type of absence and sickness • I understand that my child’s place will continue into each new term and year until I provide 4 weeks’ notice in writing to terminate my child’s place at Superkids. Places will automatically cease at the end of Year 6. • I agree to pay two weeks deposit with this application. If places are not available, I understand my child will be added to the waiting list and Superkids will contact me when a place becomes available.

Notification of your Child’s Preferences

Please take this opportunity to let Superkids know your child’s likes.
Superkids will endeavour to meet preferences wherever possible whilst ensuring that children are offered nutritious and varied foods as stated in our Prospectus.

Please list your child's food likes and dislikes

Please list your child's activities likes and dislikes

Additional Support Information

Please complete this form if your child has additional support needs, a disability, sensitivity, or if you have concerns for any aspect of their development. Our team will use this form to understand your child’s requirements and support your child, where possible. Please provide us with as much detail as possible.

Please indicate where you child may require support: * * Superkids operate a staffing ratio from 1:15 up to 1:25 depending on the club. Children who require personal care or 1:1 support will be assessed separately to ensure that we can meet fully their requirements.

If other please specify:

Describe how your child requires additional support and how this presents itself (i.e. responds to instructions, following routine, safety trips – trips).

Describe how Superkids can support your child:

Are there any triggers that upset your child?

How do you calm your child once they are upset? Are their activities or actions that your child finds soothing?

Does your child require any special resources or equipment?

Signature * If your child requires medication whilst at Superkids, please ask for our Medication form. I confirm the details I have provided are accurate and correct and understand that the information provided on this form will assist Superkids in meeting my child’s individual care needs. I understand that any information I have provided is private and confidential. I agree to inform Superkids in writing immediately of any changes to personal information about my child.

Superkids Club Ltd | Superkids Childcare | After School Club Beckenham, Blackheath and Catford | Holiday Playscheme Beckenham, Blackheath and Catford