Online registration form for Kidspace
Use this form to register with Kidspace. You will receive an email with your submission details after registration.
Contact details
First name
Please enter your first name.
Last name
Please enter your last name.
Email
Please enter a valid email address.
Mobile
Phone
Additional notes
Show address fields
Address
City
County or region
Postcode
Country
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French Part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch Part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Children
Child's first name
Child's last name
DOB
Medical notes
School Attending
Password
Please provide a safe word We will ask anyone collecting this child for the password (This is for Safeguarding reasons)
Emergency Contact
Who has named legal parental responsibility other than the contact named above in 'parent/guardian details'?
Emergency Contact Number
Please provide a telephone number for the additional emergency contact who has named legal parental responsibility.
Social Care
yes
no
Is your child known to social care? (Please state yes or no)
Share Information about child's progress
yes
no
Are you happy for us to share information about your child’s progress with his/her teacher/Senco or school?
Your child’s Doctor Surgery
Sun Cream
yes
no
I agree to sun protection cream being applied to the above child by a member of staff at the before and after school club/holiday club.
Emergency Treatment
yes
no
In an emergency, I give my permission for staff to seek medical advice and attention for my child. I will be contacted as soon as possible. In an emergency, I consent to staff administer emergency treatment, if I cannot be reached before treatment, I will be notified as soon as possible after the event.
Plasters
yes
no
I give consent for staff to apply plasters when appropriate.
Participation In Trips And Outings
yes
no
I give permission for my child to take part in trips/outings with staff of the club and entrust the safety of the child during these trips/outings to staff members. Information will be given and consent sought prior to the trip/outing.
Observations: (work displayed)
yes
no
Display Of Work : I agree to my child’s work being put on display in the venues, Club publications, Prospectus, Newsletters (no child’s name will be used)
Photo consent - electronic and printed displays
yes
no
Photo consent for electronic and printed displays at the club.
Photo – observations and assessment
yes
no
For example, learning journeys.
Photo consent - Club records of my child
yes
no
Photo consent - Club Website
yes
no
No names will be used.
Photos – closed Facebook group
yes
no
No names will be used.
Photos consent - Other
yes
no
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 Kidspace we take the issue of child protection very seriously and we would never knowingly publish an image of your child without your consent. (I understand that personal 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. 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 to the child or their parent or carer.)
Electronic equipment – personal
yes
no
I agree that the club have no liability for any damage/loss to electronic equipment that do not belong to the club (e.g tablets, ds, No mobile phone will be allowed in the setting.
Electronic equipment – The clubs
yes
no
I agree that while my child is in the Club they are allowed to go on age appropriate electrical devices for example iPad, Tablet, PlayStation etc. (please not that this time is limited (using timers) and monitored)
Gdpr
Please tick the checkbox above to confirm that you have read and agree to our
GDPR Policy
Observations:
yes
no
Observation And Assessment : I understand that ongoing observations may be undertaken on the above-named child, to follow and assess their development, in order to support the before and after school club members working towards any qualifications. These may be in the form of written statements, photographs/video or tape recordings. Photographic images will from time to time be used to promote the club
Persons authorised to collect (1)
Please tell us the Name and Phone Number of a person authorised to collect your child.
Persons authorised to collect (2)
Please tell us the Name and Phone Number of a person authorised to collect your child.
Persons authorised to collect (3)
Please tell us the Name and Phone Number of a person authorised to collect your child.
Persons authorised to collect (4)
Please tell us the Name and Phone Number of a person authorised to collect your child.
Contract
Please tick the checkbox above to confirm that you have read and agree to our
Contract
Add a child
Child's first name
Child's last name
DOB
Medical notes
School Attending
Password
Please provide a safe word We will ask anyone collecting this child for the password (This is for Safeguarding reasons)
Emergency Contact
Who has named legal parental responsibility other than the contact named above in 'parent/guardian details'?
Emergency Contact Number
Please provide a telephone number for the additional emergency contact who has named legal parental responsibility.
Social Care
yes
no
Is your child known to social care? (Please state yes or no)
Share Information about child's progress
yes
no
Are you happy for us to share information about your child’s progress with his/her teacher/Senco or school?
Your child’s Doctor Surgery
Sun Cream
yes
no
I agree to sun protection cream being applied to the above child by a member of staff at the before and after school club/holiday club.
Emergency Treatment
yes
no
In an emergency, I give my permission for staff to seek medical advice and attention for my child. I will be contacted as soon as possible. In an emergency, I consent to staff administer emergency treatment, if I cannot be reached before treatment, I will be notified as soon as possible after the event.
Plasters
yes
no
I give consent for staff to apply plasters when appropriate.
Participation In Trips And Outings
yes
no
I give permission for my child to take part in trips/outings with staff of the club and entrust the safety of the child during these trips/outings to staff members. Information will be given and consent sought prior to the trip/outing.
Observations: (work displayed)
yes
no
Display Of Work : I agree to my child’s work being put on display in the venues, Club publications, Prospectus, Newsletters (no child’s name will be used)
Photo consent - electronic and printed displays
yes
no
Photo consent for electronic and printed displays at the club.
Photo – observations and assessment
yes
no
For example, learning journeys.
Photo consent - Club records of my child
yes
no
Photo consent - Club Website
yes
no
No names will be used.
Photos – closed Facebook group
yes
no
No names will be used.
Photos consent - Other
yes
no
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 Kidspace we take the issue of child protection very seriously and we would never knowingly publish an image of your child without your consent. (I understand that personal 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. 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 to the child or their parent or carer.)
Electronic equipment – personal
yes
no
I agree that the club have no liability for any damage/loss to electronic equipment that do not belong to the club (e.g tablets, ds, No mobile phone will be allowed in the setting.
Electronic equipment – The clubs
yes
no
I agree that while my child is in the Club they are allowed to go on age appropriate electrical devices for example iPad, Tablet, PlayStation etc. (please not that this time is limited (using timers) and monitored)
Gdpr
Please tick the checkbox above to confirm that you have read and agree to our
GDPR Policy
Observations:
yes
no
Observation And Assessment : I understand that ongoing observations may be undertaken on the above-named child, to follow and assess their development, in order to support the before and after school club members working towards any qualifications. These may be in the form of written statements, photographs/video or tape recordings. Photographic images will from time to time be used to promote the club
Persons authorised to collect (1)
Please tell us the Name and Phone Number of a person authorised to collect your child.
Persons authorised to collect (2)
Please tell us the Name and Phone Number of a person authorised to collect your child.
Persons authorised to collect (3)
Please tell us the Name and Phone Number of a person authorised to collect your child.
Persons authorised to collect (4)
Please tell us the Name and Phone Number of a person authorised to collect your child.
Contract
Please tick the checkbox above to confirm that you have read and agree to our
Contract