First Steps Community Playgroup

Telephone number of person/s to contact if Doctor’s name & address First Steps Community parent/carer can’t be reached in emergency. Playgroup Tel: Enrolment form

Health Visitor name and address Names of persons with legal contact ,parental responsibility and their relationship with the child; Name of child 1. Tel; Name of child (normally used) 2. Speech therapy: Yes No Date of Birth Any Special Any Disabilities/ Special Any other information Language spoken Home Language needs/allergies/preference educational needs s/dietary requirements Home Address

Post Code Tel : Home Work Mobile Please use a separate sheet for more information

Parent/Carer Name & Address(if different from For security purposes if you are unable to collect your child and require someone that the staff have not met to above) collect your child, please state a password or number to be used

I give permission to take my child out on short visits, take photography for use in monitoring, advertising & evaluating, (please see prospectus page 4 for details). I also give my permission for all staff with a DBS check to Start Date change my child if they are soiled, please see our ‘Intimate care policy’ for full details. The information given above is correct and I have read and agree to the policies and procedures of First Steps community Playgroup Please enter inoculation details and any illnesses Please sign below Signed Date FIRST STEPS COMMUNITY PLAYGROUP Image Consent Letter

Date: Dear, Parent or Carer This letter explains why we will need to ask for your consent before we are able to take Photographs of your child during their time at First Steps Community Playgroup. Generally photographs are a source of pleasure and pride. We believe that the taking and use of photographs can enhance the self-esteem of children and their families and therefore is something to be welcomed and appreciated. We may take photographs for a number of reasons whilst your child is with us, including to: • document what they enjoy doing • record their learning and development progress • display in learning journeys and/or document panels • record special events and achievements. We will also encourage children to be active learners, and to become involved in using cameras themselves by taking photos of their surroundings, activities and of each other. We do however recognise that with the increase use of technologies, particularly digitally and online, the potential for misuse has become greater and we understand that this can give rise to concern. We will therefore endeavour to put effective safeguards in place to protect children and young people by minimising risk. We will seek to protect children’s identity and to limit opportunities for the taking, making and distribution of inappropriate images. We have a Camera and Image Policy in place, which you are welcome to view or take a copy of at any time. We are mindful of the fact that for some families, there may be reasons why protecting a child’s identity is a matter of particular anxiety, and if you have special circumstances either now, or at any time in the future which would affect or change you position regarding consent, please let us know immediately, preferably in writing. If your child is old enough to express their own view, you may want to consult with them about categories of consent, and we invite you to use this letter to explore their feelings about being photographed at our early years setting. Please read and complete the attached forms and do not hesitate to contact me should you have any queries. Yours sincerely,

The Committee & Jeanette Bottrell Manager. First Steps Community Playgroup

Parent/ Carer agreement form

When my child joins the playgroup, I agree to

1. Pay any fees required by the playgroup to cover the cost of my child’s attendance at playgroup additional to any Government entitlement.

2. I understand that all sessions if not covered by Government funding will have to be paid for whether my child attends or not. If my child leaves the playgroup I will give one ½ terms notice on any additional, no funded hours paid for or make a payment in lieu.

3. Two weeks written notice will be given by the Playgroup committee of any increase in fees 4. I consent / do not consent to photographs of my child being taken by authorised personnel representing First Steps Community Playgroup. I agree / do not agree with any resulting images being displayed on walls or in digital photo frames where they may be visible at times to the general public or anywhere which could be defined as a ‘public place’. I understand that additional consent will be obtained should images be taken or used by a third party, used in publicity materials or in the media. 5. I understand that I can withdraw my consent, or request to see photos taken at any time. I have discussed this policy with my child, and s/he is happy to be photographed, although I understand that at any time should s/he refuse or become upset, no photographs will be taken. 6. I agree that my child will be a member of First Steps Community Playgroup and that I have read and understood the Playgroup Prospectus and the policies that they have adopted

I have read and fully understand all the above statements and agree to be bound to them whilst my child is a member of the Playgroup

Childs Name:

Signed by Date

Parent/Carer In the event of an Accident at the Playgroup

I give permission for staff to administer ‘Emergency Medical Aid’, e.g telephone for an ambulance ect with your permission (all staff are fully trained in paediatric First Aid) in the event of a accident

Delete as appropriate

I do/ do not wish the staff at the above named Playgroup to administer ‘Emergency Medical Aid’

Signed Parent/ Carer ...... Date ......

Contact Tel no; ......

In the event of you not giving permission, can you please state below exactly what is to be done in the eventuality arising? Please continue overleaf if necessary.

Sessions Required Please continue overleaf if necessary

Session Monday Tuesday Wednesday Thursday Friday

Breakfast

Morning

Afternoon First Steps Community Playgroup- Home,/ Play group/ preschool experience Please could Parents/Carers complete this questionnaire to help us with our records?

1. Does he/she have any other time away from you, e.g. childminder, 8. Does he/she understand simple instructions? grandparents, etc?

9. Does he/she know numbers, colours or letters?

2. How does he/she react to meeting other adults/children? 10. Does he/she have any special words/phrases of their own?

3. Does he/she generally prefer to play on his/her own or with others? 11. Does he/she have any favourite toys or activities?

12. Favourite foods? 4. Does he/she have any pets? 13. Favourite drinks?

14. Who lives with them? 5. Does he/she have any favourite nursery/TV characters, e.g? Fimbles, Thomas the Tank Engine, etc?

6. Can he/she use apparatus with confidence? Thank you

7. Does he/she need help with toileting or dressing?