Lerntree Application&ConsentForms

LERNTREE APPLICATION and CONSENT FORMS

Root-and-Branch Out invites you to read through and complete the Lerntree Application and Consent Forms. Feel free to contact us regarding any aspect after reading the document.
CONTACT Clare Caro, 07971959039 or [email protected]

CONDITIONS FOR APPLYING
This document is for families who have already completed the Registration Form and have been added to the Lerntree waiting list and are now being offered a trial for their child. This application form is for one child. For families registering more than one child please, fill in one form per child.

This document includes the following forms:

Agreement on Arrival/Departure Qualifications and Trial Period
Agreement on Financial Matters 
Health Record Form  & Emergency Contact Details
GDPR and Photo Consent
Trips and activities consent form
Child pick-up consent form
Agreement on Application

APPLICATION and CONSENT FORMS

LERNTREE APPLICATION FOR (CHILD)

* Indicates required field

Name *

First

Last

COMPLETETED BY (PARENT, CARER OR LEGAL GUARDIAN)

Name *

First

Last

Relationship to Child *

Email *

Phone Number *

AGREEMENT ON ARRIVAL/DEPARTURE, QUALIFICATIONS AND TRIAL PERIOD

ARRIVAL/DEPARTURE
Lerntree operates on Mondays and Tuesdays 33 weeks a year. Based at Growers Row at Rutland Showground in Oakham and in the community. Monday opening hours at Growers Row are from 9.30am to 3.30pm. We ask families to arrive by 9.30am to respect the day's rhythm and to pick up their children punctually.

QUALIFICATIONS
It is the responsibility of each child to choose their own educational path. Children at Lerntree are not required to sit exams or follow the National Curriculum.

TRIAL PERIOD
Lerntree offers a trial period of 4 consecutive weeks. For children, the trial period is an opportunity to get a feel for the learning environment and make an informed choice about whether Lerntree is right for them. For us, it is a chance to see if the child will be able to fit into Lerntree life. If any party considers Lerntree or the child an unsuitable match, our mutual commitment ends there. If, however, Lerntree, the family and the child appear to be a good match, then our mutual commitment can continue. At the end of the trial period, we meet with the family to share our respective experiences.

You will receive an invoice for the trial period.

I hereby confirm that I have read and agree with the conditions for Arrival/ Departure, Qualifications and Trial Period. *

First

Last

AGREEMENT ON FINANCIAL MATTERS

DEPOSIT FOR TRIAL PERIOD
A deposit of £200 is required for each Application Form due one week after receiving the confirmation for a placement. The deposit covers the four weeks of the trial period. If the trial period results in your child continuing to take the place at Lerntree the remaining weeks of the term will be invoiced separately. Both sides are entitled to stop the Trial at any time for valid reasons. A cancellation by Root-and-Branch Out will result in a proportional refund of the unused weeks. However, there is no refund for a trial period that was cancelled by the parents.

Invoices and payment details will be emailed to you directly.

TERM FEES
The annual fee to be paid for a child attending one and a half days a week is currently £1,980. The annual base fee is calculated by the weekly fee of £60 for 1.5 days.

The annual fee is split into three payments - the term fees. Term fees are calculated by how many weeks are in the term. Each payment is due before the term starts and needs to be made at the latest five working days before the start of the term. Fees are non-refundable.

WITHDRAWAL POLICYAfter a successful trial period (that which ends with a mutual commitment to continue), a rolling contract with a one-term notice period comes into effect.

If you wish to withdraw your child from Lerntree, written notice must be sent to and received by Clare Caro at [email protected] before the first day of their final term. Example: If a family wishes finish attending Lerntree at the end of the Winter Term, the last date to inform us is the day before the Winter Term starts. In the absence of proper notice the fee for the following term must be paid.

.

I hereby confirm that I have read and agree with the conditions for payment and cancellation. *

First

Last

HEALTH RECORD FORM & EMERGENCY CONTACT DETAILS

CHILD *

First

Last

PERSON TO INFORM IN CASE OF EMERGENCY (1) *

First

Last

Mobile Phone Number *

Other Phone Number *

Relationship to Child *

PERSON TO INFORM IN CASE OF EMERGENCY (2) *

First

Last

Mobile Phone Number *

Other Phone Number *

Relationship to Child *

DOCTOR or GP *

Phone Number *

Address *

MEDICAL INFORMATION

Is the child currently receiving medication? (choose from the drop down menu) *

If YES, and your child is required to take medication during the hours spent at Lerntree, please attach a recent prescription and corresponding medication (medication box in its original packaging marked with the child's name and instructions). No medication can be taken at Lerntree without both: a prescription signed and dated by a doctor and in consultation with staff. *

Does the child have known allergies? If YES, please detail, including the cause of the allergy (for example, specific foods), if the allergic reaction is severe or minor and the recommended course of action (state if self-medication) *

Does the child currently suffer, or has the child suffered in the past from health problems that we need to be aware of? (e.g. illness, seizures, asthma, surgery, hospitalisation)  If YES, please specify which health problems along with dates and necessary precautions. *

Please inform us of any relevant information regarding vaccinations that staff at Lerntree should be aware of: *

USEFUL INFORMATION

Please indicate if your child wears contact lenses, glasses, hearing aids, false teeth, etc. *

Please specify necessary precautions *

In case of a change of address and other details in this form please inform us promptly.

GDPR AND PHOTO CONSENT

At Root-and-Branch Out CIC, we take your privacy seriously and will only use your personal information to manage your account and provide tailored care to your child.

PHOTO AND FILM CONSENT
Photos and film enable us to showcase what we do at Lerntree. We photograph and film to document work and projects for individuals and the group and to show what life at Lerntree is like to others. Photos and film will be used in the prospectus, on the website and in media such as local newspapers, Facebook and Instagram, and the end of year Yearbook.

We would like your consent to take photos of your child and use them in the ways described above. If you’re not happy for us to do this, we are happy to accommodate your preferences.

Photo and video consent (choose from the drop down menu) *

I hereby grant Root-and-Branch Out CIC permission to photograph and/or film (full name of child) *

First

Last

and to use and publish images and film footage of the above named. I further give my consent to Root-and-Branch Out CIC to publish, republish or otherwise transmit the images in any medium for all purposes throughout the world. I understand that the images may be altered, and I waive the right to approve any finished product.

TRIPS AND ACTIVITIES CONSENT FORM

Lerntree organise outings that arise from the interests of the children. Please sign and date the form below to indicate that you agree that your child participates in these organised events.

I, hereby authorise (name of the child) a) To take part in trips and other activities that take place off-site; and,   b) To be given first aid or urgent medical treatment during any trip or activity. *

First

Last

PLEASE NOTE THE FOLLOWING IMPORTANT INFORMATION BEFORE SIGNING THIS FORM:
The trips and activities covered by this consent include;

Trips within walking distance in the local area  
Excursions outside of the local area using public transport  
Adventure activities  
Off-site sporting activities

The staff at Lerntree will inform parents/guardians when we plan to go on excursions outside the local area on the ‘Lerntree Family’ WhatsApp group.

CHILD PICK UP CONSENT FORM

Please specify the persons authorised to pick up your child if you are unavailable at the end of the day.

The following people are authorised to pick up the child (full name of child) *

First

Last

Named authorised collection person (1) *

First

Last

Relationship to child *

Named authorised collection person (2) *

First

Last

Relationship to child *

Named authorised collection person (3) *

First

Last

Relationship to child *

One-off alternative arrangements for pick-up must be communicated in writing to the Lerntree facilitators before noon on the pick-up day.

AGREEMENT ON APPLICATION

I have read all the sections that are presented in the application form and agree to all its terms. Herewith, I would like to apply for a space for my child.

Full name of child *

who was born on *

Signature of parent/legal guardian - (name typed) *

Signed on day / month / year *

Submit

LERNTREE APPLICATION and CONSENT FORMS

APPLICATION and CONSENT FORMS

AGREEMENT ON ARRIVAL/DEPARTURE, QUALIFICATIONS AND TRIAL PERIOD

AGREEMENT ON FINANCIAL MATTERS

HEALTH RECORD FORM & EMERGENCY CONTACT DETAILS

GDPR AND PHOTO CONSENT

TRIPS AND ACTIVITIES CONSENT FORM

CHILD PICK UP CONSENT FORM

AGREEMENT ON APPLICATION

Business Address

Telephone