Clubland PlayschemeClubland Playscheme

  • karen@clubland-playscheme.com
  • 0208 979 3100
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Registration form

1 Registration
2 Permission
3 Sessions Requests
4 All about Me
5 Submit Registration
  • Child #1:

  • Date Format: DD slash MM slash YYYY
  • Child #2

  • Date Format: DD slash MM slash YYYY
  • Child #3

  • Date Format: DD slash MM slash YYYY
  • This password is your authority to us to release your child to another person in the event that you are unable to collect





  • (All parents who can legally make decisions regarding this child. Click the + to add a person.)


  • Someone other than the Parent/Guardian who can collect the child.



  • Registration Information

  • All new applications whether ad hoc or permanent bookings will be processed upon receipt of a one- off, non-refundable registration fee of £10 per child to cover administration costs. Unless otherwise advised, Head office will call you to arrange payment.
  • If you are applying for Permanent sessions, a reservation fee is be payable to secure your child’s place.

    The fee is calculated as follows:

    • 1st child= £25
    • 2nd child = £20
    • 3rd child = £15

    This reservation fee will be refunded in your 1st invoice provided you have not cancelled any sessions once they have been confirmed by us. For multiple child applications, the reservation fee will be reduced pro-rata if sessions are reduced per child.

    However, if your booking is for the new academic year (September) you have until 14th August to cancel without forfeiting your reservation fee. Once school resumes in September, 6 weeks’ notice of cancellation of sessions is required, in writing (preferably by email).

    Please note that if you are re-registering for September, we expect your child to return to Clubland when school resumes. If you delay their start date to coincide with the start of a sibling, we cannot guarantee their place.

  • I confirm that I have read the Terms and Conditions of Clubland Playscheme Limited and agree to abide by them. Our full Policies & procedures are displayed at the Club house, or website: www.clubland-playscheme.com.

    Please note there is a late fee payable for non- collection of children at closing time. Please see the website for details.

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  • To comply with the Data Protection Act 1998 and Ofsted regulations we require your permission for the following:

  • Child 1

  • In terms of GDPR I confirm that I am aware that my permission is not restricted to my child’s continued attendance at Clubland Playscheme Ltd and that I cannot withdraw my permission from a published photograph.
  • Child 2

  • In terms of GDPR I confirm that I am aware that my permission is not restricted to my child’s continued attendance at Clubland Playscheme Ltd and that I cannot withdraw my permission from a published photograph.
  • Child 3

  • In terms of GDPR I confirm that I am aware that my permission is not restricted to my child’s continued attendance at Clubland Playscheme Ltd and that I cannot withdraw my permission from a published photograph.
  • Parent/Carer's Consent

    I confirm that I have read and understood the information provided on this form and that I give consent for photographs of my children/ren to be used as indicated by me. For the purposes of GDPR I confirm that I am aware that my permission is not restricted to my child’s attendance at Clubland Playscheme Ltd and that I cannot withdraw my permission from a published photograph.

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  • Breakfast Club Days Requested - Child 1

  • Date Format: DD slash MM slash YYYY

  • Breakfast Club Days Requested - Child 2

  • Date Format: DD slash MM slash YYYY

  • Breakfast Club Days Requested - Child 3

  • Date Format: DD slash MM slash YYYY

  • Afterschool Club Days Requested



  • Date Format: DD slash MM slash YYYY
  • I agree to comply with the Terms and Condistions as published by Clubland. Should I wish to permamently cancel the sessions which my child attends at Clubland, I agree to give six weeks notice in writing or pay six week's fees in lieu. Fees remain payable for periods of absence (holidays and sickness) as the child's place is kept open and staff and accumulated costs continue to accumulate and have to be met by the Playscheme
  • Date Format: DD slash MM slash YYYY
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  • About Me - Child 1

  • Please enter a value between 3 and 18.
  • Accepted file types: jpg, gif, png, jpeg.
  • About Me - Child 2

  • Please enter a value between 3 and 18.
  • Accepted file types: jpg, gif, png, jpeg.
  • About Me - Child 3

  • Please enter a value between 3 and 18.
  • Accepted file types: jpg, gif, png, jpeg.
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  • Thank you for taking to the time to complete our registration process, please submit to commit your registration.

  • Please nominate an email address to be used for all invoices and communication purposes
  • This field is for validation purposes and should be left unchanged.
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About Us

Clubland was established in 1996 with the aim of providing a safe, supervised and stimulating child centered environment. It has always been our intention to ensure that this provision is inclusive, reliable and an affordable childcare service.

Contact Information

  • Address: Clubland Playscheme Limited
    Darven House
    Armfield Close
    West Molesey
    Surrey
    KT8 2RT
  • Phone: 0208 979 3100.
  • Email: karen@clubland-playscheme.com

Useful Links

  • Jobs At Clubland
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    • Home
    • Locations
    • How To Apply
    • Holiday Club
      • Book Holiday Club
      • FAQ’s for Holiday club
      • Terms and Conditions
    • Parent’s Guide
      • FAQ
      • Payment
      • Policies & Procedures
      • Terms and Conditions
    • Contact Us