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Registered Address with Companies House: East Fulton Primary School, Gilmartin Road, Linwood, PA3 3SG
SC482117 Co Ltd by Guarantee
1
E-mail : [email protected]/[email protected]
Contact number: Linwood - 01505 331931 / 07506978685
Johnstone - 07564821416
Care Inspectorate number: Linwood - CS2014333589
Johnstone - CS2016350002
Out of School Contract Johnstone/Linwood/Playscheme(please circle)
KLAS Care will provide care for ...................................................................
Child’s Date of Birth ................................................................day/month/ year
Address; .........................................................................................
.........................................................................................
.........................................................................................
Name of Parent/carer .........................................................................................
Address if different from above .........................................................................................
.........................................................................................
.........................................................................................
Name of person responsible for payment;. .............................................................full name
............................................................................. address
...........................................................................................
...........................................................................................
Telephone number Home ...................................................
Mobile ...................................................
Work ...................................................
E-mail ...................................................
Date that the care will commence ........../............../................
Term Time, Circle day and time
Monday Tuesday Wednesday Thursday Friday Occasional
3pm-4pm 3pm-6pm Shift Pattern/other information……………………………………...
KLAS Care will provide snacks and water. Children will not be allowed to consume food or drink that has been
with them during the school day. This is to comply with standards set out by the Environmental Health Agency,
we appreciate your co-operation in this matter.
School Holiday/In-Service Cover, Circle day and Time: Please supply a packed lunch for full day sessions.
Monday Tuesday Wednesday Thursday Friday Occasional
8am-6pm 9am-3pm 8am-1pm 1pm-6pm
Please use this box to give any other information:
Registered Address with Companies House: East Fulton Primary School, Gilmartin Road, Linwood, PA3 3SG
SC482117 Co Ltd by Guarantee
2
E-mail : [email protected]/[email protected]
Contact number: Linwood - 01505 331931 / 07506978685
Johnstone - 07564821416
Care Inspectorate number: Linwood - CS2014333589
Johnstone - CS2016350002
Out Of School Care and Playscheme Contract
Continued
Does your child have any allergies or medical conditions: Yes / No
If yes please give more details below :
Do your child require medication to be administered while in KLAS Care?
Is your child up to date with all of their route immunisations including tetanus? Yes/No if no please give details:
Registered Address with Companies House: East Fulton Primary School, Gilmartin Road, Linwood, PA3 3SG
SC482117 Co Ltd by Guarantee
3
E-mail : [email protected]/[email protected]
Contact number: Linwood - 01505 331931 / 07506978685
Johnstone - 07564821416
Care Inspectorate number: Linwood - CS2014333589
Johnstone - CS2016350002
Please provide contact details for your child’s registered Doctor
Child’s name__________________________________
Doctors Name ______________________________Contact Telephone Number ____________
Health Practice Address ______________________________________________________________________
Please state the names of all people who are authorised to collect your children from KLAS Care.
_______________________________________________________________________________________
_______________________________________________________________________________________
________________________________________________________________________________________
Please note that staff have the right to refuse handing the child over to anyone who is not on record, or to a
minor (child under 16 years old) , or to anyone who is incapacitated and incapable of looking after a child due
to alcohol or drug abuse.
EMERGENCY CONTACTS (These must be 2 additional adults other than yourself, if this is not possible please
make staff aware)
Name;
Address;
Home;
Tel. work;
Tel. mobile;
Relationship;
2nd CONTACT NAME;
Address;
Tel. home;
Tel. work;
Tel. mobile;
Relationship:
Registered Address with Companies House: East Fulton Primary School, Gilmartin Road, Linwood, PA3 3SG
SC482117 Co Ltd by Guarantee
4
E-mail : [email protected]/[email protected]
Contact number: Linwood - 01505 331931 / 07506978685
Johnstone - 07564821416
Care Inspectorate number: Linwood - CS2014333589
Johnstone - CS2016350002
To help us welcome and settle your child we ask that you take the time just now to let us know if their are any
particular activities your child likes to do, or if their are any areas we could help you support your child
with. Thank you for your feedback it will help us provide a service best suited to your child’s needs.
KLAS Care’s aim is to provide an environment that meets the needs of all the children that attend our facility
whilst ensuring that both the children and their families feel welcome and supported.
To ensure that your child’s needs are met we like to encourage both the children and their parents/carers to be
involved in the day to day planning of activities. The children are encouraged to make suggestions through
discussion and by using the suggestion boards in the play area. Parents/Carers have both a comments book and
a suggestion box to use, please feel free to make comments we appreciate all feedback.
Parents Response
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Child’s Response
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Registered Address with Companies House: East Fulton Primary School, Gilmartin Road, Linwood, PA3 3SG
SC482117 Co Ltd by Guarantee
5
E-mail : [email protected]/[email protected]
Contact number: Linwood - 01505 331931 / 07506978685
Johnstone - 07564821416
Care Inspectorate number: Linwood - CS2014333589
Johnstone - CS2016350002
MOBILE PHONE and USE OF ELECTRONIC DEVICES POLICY
All mobile phones, photographic equipment, and/or sound recording equipment, are not to be brought to KLAS
care at any time. This includes any hand held games consoles or music players. Any of these items found to be
used within KLAS care will be confiscated and only returned to the parent/carer when child is collected. Staff
retain the right to confiscate any electronic equipment that they think is not appropriate for use within KLAS care
and these items will be returned to parents/carers on collection of child. KLAS care will not accept any liability
for the loss or damage to any personal IT equipment.
RESPONSIBLE USE OF INTERNET AND ICT EQUIPMENT POLICY
As part of your child’s development it is important for them to learn how to stay safe while accessing the internet,
this reflects the modern world that they are growing up in. The internet access that KLAS Care have will be closely
monitored by staff and have suitable filters which will restrict access to inappropriate sites. However, KLAS care
cannot be responsible for the nature or content of materials accessed through the internet and as such we ask that
children do not attempt to access sites that have a history of inappropriate images or language.
OUTDOOR PLAY
I do/do not KLAS Care give staff permission to take my child./ren out to play games in the playground area within
the boundary of the school. I will also allow my child to take part in supervised walks that will explore the local area.
MESSY PLAY
I do/do not allow my child/ren to take part in messy play this will also cover: Face painting / Nail varnish
PERMISSIONS
I do/do not give permission for my children’s photograph to be taken by KLAS care staff. I understand that these
will not be sold or published or used in connection with any illegal issues.
I do/do not give my permission for my child’s photograph to be displayed on KLAS Care’s facebook page
I do/do not give my permission for my children to receive 1st aid by KLAS Care staff.
I do/do not give permission for my children to take part in the activities set out by KLAS Care staff.
I do/do not give my permission for my children to have a elastoplast applied if required.
I do/do not give permission for my children to have sun cream applied in hot weather conditions
Signature of Parent/Carer______________________________________________
Date________________________
Registered Address with Companies House: East Fulton Primary School, Gilmartin Road, Linwood, PA3 3SG
SC482117 Co Ltd by Guarantee
6
E-mail : [email protected]/[email protected]
Contact number: Linwood - 01505 331931 / 07506978685
Johnstone - 07564821416
Care Inspectorate number: Linwood - CS2014333589
Johnstone - CS2016350002
PRIVACY POLICY
KLAS Care would like to update you with information on our services. In line with KLAS Care’s privacy
policy please indicate which methods of communication you would prefer not to receive these messages.
I prefer to receive messages by Email
I prefer to receive messages by SMS
I prefer to receive messages by Phone
I prefer to receive messages by Post
Please feel free to contact management to discuss or review our current policies. Thank you
FEES:
Bookings are required to be made one week in advance, fees must be paid in advance of children attending out of
school care. All booked/contracted hours will be payable regardless of sickness or any other reason for absence,
unless 7 days notice can be given. Fees should be received in KLAS Care bank account no less than 3 WORK-
ING DAYS prior to start date, unless alternative arrangements have been made with management.
An invoice or statement of account will be issued to the person responsible for payment. If no payment is re-
ceived additional charges may apply or a payment plan introduced, KLAS Care management have the right to
terminate the contract if an agreement cannot be reached on the payment of the fees related to the costs of child
care.
This contract has been formulated and discussed with parties whose signature appears below. This
contract must be completed before care commences and all conditions must be adhered to. If any part of the
terms and conditions relating to the signed contract is breached the said contract can be terminated forthwith
by the other party. Despite such termination all outstanding sums of monies are still due and payable to KLAS
Care. Please note 2 weeks notice is required to terminate this contract.
Parent/Carer signature
Manager signature
Date
Registered Address with Companies House: East Fulton Primary School, Gilmartin Road, Linwood, PA3 3SG
SC482117 Co Ltd by Guarantee
7
E-mail : [email protected]/[email protected]
Contact number: Linwood - 01505 331931 / 07506978685
Johnstone - 07564821416
Care Inspectorate number: Linwood - CS2014333589
Johnstone - CS2016350002
How well did we do?
Thank you for registering your child with KLAS Care. At KLAS Care we value your opinion. Please provide us with
some feedback on our registering process;
Please rate us on a scale from 1 to 10 with 1 being ‘Very poor’ and 10 being ‘Excellent’
What could we have done to improve your experience when registering your child with us?
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Score out of 10
How welcoming were our management and staff?
How welcome did your child feel?
How well did we provide information on our service and settling Proce-
dures?
How well did we try to accommodate you and your child’s specific
needs?
How Flexible did you find our service?
Did you find our prices competitive?
Registered Address with Companies House: East Fulton Primary School, Gilmartin Road, Linwood, PA3 3SG
SC482117 Co Ltd by Guarantee
8
E-mail : [email protected]/[email protected]
Contact number: Linwood - 01505 331931 / 07506978685
Johnstone - 07564821416
Care Inspectorate number: Linwood - CS2014333589
Johnstone - CS2016350002
BANK DETAILS
For easier payment KLAS Care C.i.C can accept payments by BACS transfer.
BACS payments can be made to
Alternatively, bookings can be paid for by cash at the time of booking.
Sort Code
08-92-99
Account Number
65742934
Registered Address with Companies House: East Fulton Primary School, Gilmartin Road, Linwood, PA3 3SG
SC482117 Co Ltd by Guarantee
9
E-mail : [email protected]/[email protected]
Contact number: Linwood - 01505 331931 / 07506978685
Johnstone - 07564821416
Care Inspectorate number: Linwood - CS2014333589
Johnstone - CS2016350002
General Data Protection Regulation Data Map
Column Definitions
Type of data: The category of data being held.
Reason for processing: A short explanation of why it is necessary for the
business to hold the data.
Legal basis for processing: The legal basis for processing the data. There are
six possible legal bases:
- Formation or performance of a contract
- Legal obligation
- Protecting vital interests
- Performing a public function
. Legitimate interest
. Consent
Source of data: Where the data was gathered from.
You can also add additional columns to your data map, for example specifying how long you will keep the data for or
linking to any risk assessments or Data Protection Impact Assessments you may have performed.
Type of data Reason for processing
Legal basis for processing Data Source
Contact details of children’s
registered doctor
Parent
Registered Address with Companies House: East Fulton Primary School, Gilmartin Road, Linwood, PA3 3SG
SC482117 Co Ltd by Guarantee
10
E-mail : [email protected]/[email protected]
Contact number: Linwood - 01505 331931 / 07506978685
Johnstone - 07564821416
Care Inspectorate number: Linwood - CS2014333589
Johnstone - CS2016350002
What personal data do we collect?
What we do with the data we collect from you
I
How will we use sensitive personal information?
Registered Address with Companies House: East Fulton Primary School, Gilmartin Road, Linwood, PA3 3SG
SC482117 Co Ltd by Guarantee
11
E-mail : [email protected]/[email protected]
Contact number: Linwood - 01505 331931 / 07506978685
Johnstone - 07564821416
Care Inspectorate number: Linwood - CS2014333589
Johnstone - CS2016350002
How is your data stored?
How we look after your data
What are your responsibilities?
What are your rights?
Registered Address with Companies House: East Fulton Primary School, Gilmartin Road, Linwood, PA3 3SG
SC482117 Co Ltd by Guarantee
12
E-mail : [email protected]/[email protected]
Contact number: Linwood - 01505 331931 / 07506978685
Johnstone - 07564821416
Care Inspectorate number: Linwood - CS2014333589
Johnstone - CS2016350002
Complaints
Changes to this privacy notice