SEND & Siblings Sensory Autumnal Outdoor Play

This October half term your child with SEND age 4-12 can get CREATIVE, get CURIOUS and most of all ENJOY self-directed and free flow autumnal-themed PLAY, facilitated by a professional playworker in a safe, enclosed and welcoming OUTDOOR community garden in Kings Heath. Dress up warm! Hot & cold drinks available. Messy play alert!

Dawberry Corner Community Garden is next to 72 Dawberry Road, Birmingham, B14 6RY.  The community garden is the project of Our Scene – who are also leading this session.  The site has a wheelchair accessible toilet.  There is local on-street parking (Please do not park directly in front of the garden, but a few metres away to avoid congestion for local residents!)  Alternatively 11 and 35 buses stop about a third of a mile away on Pineapple Bridge.  The new Pineapple Road railway station is just over half a mile away.

Check out Our Scene for more details and pictures.

BOOKING FORM – You don’t need your Membership Number to Book, but if you do have it, it makes booking quicker!

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Parent/Carer Name *

First

Last

Your Email *

Your Phone Number *

Your Home Postcode *

Book places for: *

• One child
• Two children
• Three children

Child 1 First Name *

Child 1 Last Name *

Child 1 Date of Birth *

Membership Number 

If you have a membership number then booking is very quick.  If you don’t have one handy, then just select ‘No’ in the box below and enter further details.

Is Child 1 a member of the Fit For All Club and do you know their membership number *— Select Choice —Yes – I have the membership numberNo – I don’t have the numberNo – they are not a member yet

If you don’t know your child’s membership number or they haven’t yet joined the club, then choose ‘No’ – you will have to give a few more details and we will get Child 1 joined if they are eligible.

3 membership please

Child 1 Membership Number *

If you don’t know your child’s membership number or they haven’t yet joined the club, then choose ‘No’ above and give some further details. You can still book places today. If they are eligible then we will join them to the Club.

Child 1 School *

Or write ‘home educated’ or ‘not in school’ etc

Is Child 1 entitled to Free School Meals *

• Yes
• No
• Not sure

If you are entitled to Universal Credit then your children are usually entitled to Free School Meals. You should answer Yes if they are entitled – even if they aren’t in school.

Child 1 Ethnicity

Child 1 Gender

Is Child 1 Eligible for Club Membership – please describe their special needs briefly and whether they have an EHCP? *

Fit for All Club is for disabled young people with significant needs aged 4-18 years who live, or go to school, in Birmingham and who: go to a Special School OR have an Education Health & Care Plan (EHCP) OR do not attend school as a result of their special needs.

Are there adjustments we should make to make Child 1 welcome at Club events? *

Child 2

Child 2 First Name *

Child 2 Last Name *

Child 2 Date of Birth *

Is Child 2 a Fit For All Club member and do you know their membership number? *— Select Choice —No – they are a sibling of Child 1Yes – I have the numberNo – I don’t have their member numberNo – they aren’t a member yet

If you don’t know your child’s membership number or they haven’t yet joined the club, then choose ‘No’ – you will have to give a few more details and we will get Child 1 joined if they are eligible.

Child 2 Membership Number *

If this child is a sibling, then you just need to provide some additional details below:

Child 2 School *

Is Child 2 entitled to Free School Meals? *

• Yes
• No
• Not sure

If you are entitled to Universal Credit then your children are usually entitled to Free School Meals. You should answer Yes if they are entitled – even if they aren’t in school

Child 2 Ethnicity

Child 2 Gender

Is Child 2 Eligible for Club Membership – please describe their special needs briefly and whether they have an EHCP? *

Fit for All Club is for disabled young people with significant needs aged 4-18 years who live, or go to school, in Birmingham and who: go to a Special School OR have an Education Health & Care Plan (EHCP) OR do not attend school as a result of their special needs.

Are there adjustments we should make to make Child 2 welcome at Club events? *

Child 3

Child 3 First Name *

Child 3 Last Name *

Child 3 Date of Birth *

Is Child 3 a Fit For All Club member and do you know their membership number? *— Select Choice —No – they are a sibling of Child 1Yes – I have their member numberNo – I don’t have their member numberNo – they aren’t a member yet

If you don’t know your child’s membership number or they haven’t yet joined the club, then choose ‘No’ – you will have to give a few more details and we will get Child 1 joined if they are eligible.

Child 3 Membership Number *

If this child is a sibling, then you just need to provide some additional details below:

Child 3 School *

Is Child 3 entitled to Free School Meals? *

• Yes
• No
• Not sure

If you are entitled to Universal Credit then your children are usually entitled to Free School Meals. You should answer Yes if they are entitled – even if they aren’t in school

Child 3 Ethnicity

Child 3 Gender

Is Child 3 Eligible for Club Membership – please describe their special needs briefly and whether they have an EHCP? *

Are there adjustments we should make to make Child 3 welcome at Club events? *

Fit for All Club is for disabled young people with significant needs aged 4-18 years who live, or go to school, in Birmingham and who: go to a Special School OR have an Education Health & Care Plan (EHCP) OR do not attend school as a result of their special needs.

Consent

Consent Statement *

• I am the person with parental responsbility named above and I give my consent for my child/children to join the Fit for All Club; for their personal data to be used and stored by Childrens Quarter, the Fit for All Foundation and DENS of Equality and organisations working with them to run the Fit for All Club and provide opportunities to young people who are members of the club; and for Fit for All Club to contact me about this and future opportunities. I understand that I can cancel this membership and withdraw this consent at any time; that I will be given a copy of the data held by the Fit for All Club that relates to my child/children; and that this data will be stored securely and processed and used responsibly.

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