Summer Enrolment Form 2019

Consent
1. I agree that the representatives of Wilnecote Community Leisure Centre have my permission to
authorise emergency medical treatment (including anaesthetic) should the need arise in the
judgement of the medical authorities and in the event that my child’s designated emergency
contacts cannot be reached.
2. I agree to photographs and/or video being taken of my child during the WHSkids sessions.
3. I agree that my child is allowed to walk home without a responsible adult. I understand that
this will mean WHSKIDS staff will allow my child to leave activities at either 4pm or 5:30pm.
(Please note if your child wishes to leave before this, a member of staff will contact one of the
identified contacts before they are allowed to leave).
Holiday Scheme 2019 Code of Conduct:
All parents/careers are expected to go through the code of conduct with their child/children before arriving at
WHSkids.
Children are expected to behave appropriately and promote a safe, fun and healthy environment through productive
participation. The staff will use a positive approach to discipline and will seek parental support to resolve behavioral
issues if required. Children who remain disruptive may be dismissed from the programme.
As a child on any WHSKIDS Activities Programme, I will:
Show respect to other children and treat them as well as I would like to be treated.
Always respect members of staff, listen to instructions so that I know the rules of the session and follow them.
Respect the rights and beliefs of others with courtesy and consideration.
Communicate in an appropriate manner which means I must not use foul language or gestures, harsh words or
tone of voice.
Conduct myself responsibly. I understand that unwelcome teasing, messing around or other unkind behaviors
are not allowed.
Refrain from deliberately causing bodily harm to other children or staff. I understand that pushing, kicking,
hitting or fighting are not accepted and will not be tolerated.
Use the facility and equipment properly.
Respect the property of others.
Be fully responsible for my actions and understand that irresponsible behaviour will result in disciplinary action.
To be filled in by the child:
I understand and accept the Code of Conduct and will follow it at all times. I understand that I will automatically be
removed from the session for unacceptable behaviour.
Signature:……………………………………………………………………………………
Date:………………………………………………
To be filled in by the parent/carer:
I understand that if my child does not follow the Code of Conduct as agreed he/she maybe removed from the session
and sent home early. I have spoken to my child and they are fully aware of the Code of Conduct and the
consequences of unacceptable behavior.
Signature:……………………………………………………………………………………
Date:………………………………………………
Keeping Records
Please note the information included in this enrolment form will be held by Wilnecote Community Leisure Centre
until the end of the Summer Holiday scheme. The information will then be destroyed unless you agree to us keeping
your details for the sole purpose of allowing us to contact you about future Wilnecote Community Leisure Centre
activities.
Please sign in this box if we can keep your information after the Holiday Scheme has ended.
The Wilnecote School
Tinkers Green Road
Tamworth
Staffordshire, B77 5LF
01827 831 333
leisure@wilnecotehighschool.org
Thewilnecoteschool.com/leisure