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Please complete the form in full
Please note that incomplete forms will not be accepted
YOUR CHILD'S DETAILS
Please Select which services you are applying for
*
After School Collection
Morning Breakfast and Escort to School
Holiday Playscheme
Beanstalk Climbers 2-3/4 EYF
Please Select the days your child require
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
*
Indicates required field
Name of Child
*
First
Last
Other Name
*
Age
*
2
3
4
5
6
7
8
9
10
11
Date of Birth --/--/----
*
Choose One
*
Male
Female
Child's School Name
*
Please add the name of the school that your child attends
How many chidren do you have? Boys
*
0
1
2
3
4
5
6
Girls
*
0
1
2
3
4
5
6
Childs Position in Family?
*
1
2
3
4
5
6
7
FATHER, MOTHER, CARER OR GUARDIANS DETAILS
Please tell us your relationship with the child
*
Father
Mother
Guardian
Carer
Name
*
First
Last
Home Phone Number
*
Mobile Phone Number
*
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
THE REASON YOU NEED CHILDCARE
Choose Any
*
I am working full-time
I am working part-time
I am studying full-time
I am studying part-time
Other please specify
*
Maritial Status
*
Single
Married
Other
OTHER INFORMATION ABOUT YOUR CHILD
Do you already have a child attending CASP
*
Yes
No
Did your child attend another childcare service before CASP
*
Yes
No
OTHER AGENCIES OR SUPPORT WORKERS INVOLVED IN YOUR CHILD-S CARE
Contact Name
*
Agency Name
*
Position
*
Conatct Phone Number
*
Address
*
YOUR CHILDS MEDICAL NEEDS
Does your child suffer from any medical condition that we need to be aware of? (e.g. asthma, diabetes, epilepsy, obesity, sickle cell etc).
*
Yes
No
If yes please state
*
Your child educational and behavioural needs
Has your child any special needs you feel that we should be aware of?
*
No
Yes
If yes please state
*
How did you first heard about Camberwell After School Project (CASP)?
*
Family
Friend
School
Council
Neighbour
Internet
GP
Church / Mosque / Temple
By Myself
OTHER
If other please give details
*
CAS processes information about members of CASP, applicants, children and other individuals for purposes of the administration and promotion of the organisation, the effective provision of child protection and welfare services.
Agreement to CASP processing some specified classes of personal data is condition of acceptance of a child into any of CASP’s services.
I consent to CASP processing and disclosing relevant personal data as set out above, including the processing of sensitive personal data.
I attach a document with any objections to the processing of my personal data
*
Tick this box
Upload File
*
Max file size: 20MB
My Full Name
*
Please enter your full name
Date --/--/----
*
please enter date i.e. 12/12/2021
Time
*
Please use 24hr clock i.e. 18:30
Childs Full Name
*
I agree to receiving marketing and promotional materials
*
Submit
About Us
Our Team
History of CASP
Become a Trustee
Become a volunteer
Services
Gallery
Hall Hire
Parent Info
Policies and Reports
Term Dates
Testimonials
Support for Parents
Donate
News & Events
Contact Us
