Registration Form | Sparks Creative Club

Child's Name

Birthday

Day

Month

Year

School Year

Parent/guardian's name

Email

Phone

Address

Emergency Contact

Someone we can contact if a parent/carer above cannot be reached. Please provide name, relationship to child, and phone number.

Authorised Collection

Only the parents/carers listed above, plus anyone named here may collect your child. We may ask for ID if we don't recognise the adult collecting.

Does your child have any medical conditions we should be aware of?

Yes (please give details below)

No

If 'yes' to above, please provide more info here:

Will your child require any medication during sessions?

Yes

No

Please give detail below:

Please note, we are only able to administer medication in emergency situations such as allergies or asthma. Please speak with us about any medication your child may need.

Does your child have any allergies?

please give details including how the allergy presents and any action needed.

Sparks is an activity-based class and leaders are not able to provide personal care. Please read our Safeguarding Policy for more detail.

My child is fully independent with using the toilet (including managing clothing and hygiene without adult help)

My child is not yet fully independent — I will remain on-site for the full session to assist if needed

Additional Support Needs

Is there anything about your child's learning, communication, sensory needs, or behaviour that would help us support them well during sessions?

Consent

I give permission for my child to take part in Sparks creative activities, including art, music, movement, and modelling.

I give permission for a Sparks leader to seek emergency medical treatment or advice for my child if I cannot be reached.

I give permission for my child to be photographed or filmed during sessions for Sparks marketing and funding purposes (website, social media, flyers, funding applications). My child will not be named alongside any public photo.

I confirm that the information given above is accurate to the best of my knowledge, and I will inform Sparks of any changes.

Parent/guardian signature

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Print Name

Fees

One-Off Session (we will be in touch to confirm the date)£20

Half a term (7 sessions)£140

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