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After School

8-16 Years

Lincolnshire Educational Support are now offering after school clubs for KS1 & KS2 pupils. Based around our alternative provisions in sports and media we have developed a number of after school clubs which are both fun and educational. From Futsal a new and exciting football based game, Water Sports including Sailing and Paddle Boarding to our Media Club where children can become budding journalists, vloggers (reviewing anything from books to the latest video game), radio dj’s or work behind the scene. Both are offered either as an in-school club or offsite.

learner led education

Media club learning through media

After school Sailing learning through Sport

After school in-school or offsite

Futsal Club learning through Sport

After School: Registration Form

Step 1 of 4

25%

Child Details

Consent

I confirm that I have completed the application form on Evouchers prior to completing this expression of interest form.

Name of Child(Required)

Upload Photograph

Max. file size: 50 MB.

Date of Birth(Required)

DD slash MM slash YYYY

School Attended(Required)

School Year(Required)

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code

Parent/ Guardian Details

Name of Parent/ Guardian(Required)

Parent/ Guardian Phone Number(Required)

Email Address(Required)

Enter Email Confirm Email

If the child is not living with parents, please clarify the legal status of the child and their current carers.

Child Needs and Club Choice

Describe SEND Needs of Child(Required)

Consent(Required)

I confirm that the description of SEND needs above is correct.(Required)

Does Child have 1 to 1 supervision in school?(Required)

Yes

After School Club(s) interested in(Required)

Pokémon (Wednesday)

Photography (Monday)

Sailing (SEND) Tuesday 4-6

Sailing (Limpets) Thursday 5-7

It is important that you fill in the rest of this form as fully as possible. Failure to tell us things could mean that the safety and welfare of your child is compromised. The Club cannot be held responsible if information has not been disclosed

Health Needs

Does your child have any known health needs?(Required)

Yes

Current Medication

Medication Name

Dose

Frequency

What do staff need to do to help keep your child well e.g. administer planned medication / call ambulance / give snacks? Please be very specific.(Required)

Do Staff need any medical training other than Basic First Aid to care for your child? If yes please specify.(Required)

Does your child have any access needs? If yes please tell us what we need to do to help him/her.(Required)

Communication

Does your child have any communication needs e.g. non-English speaker / hearing impairment / sign language user / dyslexia.(Required)

Yes

If yes please tell us what we need to do to enable him/her to communicate with us?(Required)

Religion and Culture

Does your child participate in religion or spiritual practice?(Required)

Yes

Please tell us what it is.(Required)

What do we need to know to ensure your child’s preferences/needs are met e.g. are there any dietary guideline/dress codes we need to follow or support?(Required)

Images

At times the Club may wish to take photos or videos of the team or individuals in it. We adhere to our safeguarding policy (which you can view <a href="/wp-content/uploads/LES-Safeguarding-2022.pdf/">here</a>). We ensure they are safe and respectful and used solely for the purposes for which they are intended, which is promotion and celebration of the activities of the Club. Please indicate if this is acceptable to you(Required)

At times the Club may wish to take photos or videos of the team or individuals in it. We adhere to our safeguarding policy (which you can view here). We ensure they are safe and respectful and used solely for the purposes for which they are intended, which is promotion and celebration of the activities of the Club. Please indicate if this is acceptable to you

Yes

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Lincolnshire Educational Support
BG Futures
Longdales Road
Lincoln
Lincolnshire
LN1 3DY
Tel: 01522 283027
Email: hello@lincseducation.co.uk

Special Educational Needs
young people’s learning provision
Educational Support
Alternative PROVISIONS
Intervention
Homeschooling