Welcome toKlabb 3-16 / Skolasajf 2014! 22586818
klabb316.mede@gov.mt
facebook.com/FoundationforEducationalServices Foundation for Educational Services,P.O. Box 1, Rabat RBT 1000, Malta
Once again the Foundation for Educational Services welcomes you to Klabb 3 -16 and Skolasajf – a summer programme full of educational and fun activities for children aged between 3 and 16. Parents can make use of any Klabb 3 -16 or Skolasajf centre according to their needs. Klabb 3-16 Sajf is part of Klabb 3-16, an after-school service which runs throughout the year. The services are open to children attending State, Church or Independent Schools. For more information, please use the contact details provided above. Summer Service Provision: Service Break: Opening Hours:
From the 7 July to the 17 September 2014 11 - 15 August 2014 Klabb 3-16:Monday to Friday, 7.00 am - 5.30 pm Skolasajf: Monday to Friday, 8.30 am - 12.30 pm
REGISTRATION & PAYMENT MALTA Registration Days: From Monday 26 May to Wednesday 28 May 2014 Time: 8.30 am – 1.00 pm / 1.45 pm – 6.00 pm Venues for Registrations: Mosta: Maria Regina Boys’ Secondary School Kulleġġ (Ta’ Żokrija), Triq il-Biedja Floriana: Customer Care Section, Directorate for Educational Services, Great Siege Road Qormi: St Ignatius College, The Office of the College Principal Federico Maempel Square Żabbar: Civic Centre, Ċawsli Street
GOZO Registration Days: From Monday 2 June to Wednesday 4 June 2014 Time: 8.30 am – 1.00 pm / 1.45 pm – 6.00 pm Venue for Registration: Gozo College, The Office of the Principal, Europe Street, Victoria Klabb 3-16 Centre (Please choose one of these centres for service between 7:00am and 5:30 pm) Attard 21410350 Floriana 21221939
B’Bugia 21653221 Ħamrun Ġ. Pace 21235301
B’Kara 21493459 Luqa 21257096
Cospicua 21804561 Mellieħa 21521659
Fgura 21665692 Mġarr 21574016
Mosta 21585070
M’Scala 21632001
Naxxar 21423550
Paola 21803510
Pembroke 21363053
Qormi San Ġorġ 21443161
Rabat 21452306
San Ġwann 21385223
Siġġiewi 21460938
Sliema 21312806
Sta. Venera 21497058
St Paul’s Bay 21573495
Valletta 21220108
Żabbar 21663203
Żebbuġ 21461736
Żejtun 21804047
Żurrieq 21650789
Nadur 21550333
Victoria 21558057
Skolasajf Centre (Please choose one of these centres for service between 8:30am and 12:30 pm) For these centres, please call 22586818 Burmarrad
Dingli
Għargħur
Għaxaq
Gudja
Gżira
Kalkara
Kirkop
Lija / Balzan
Marsa
Mqabba
Msida
Mtarfa
M’Xlokk
Pietà
Qormi San Bastjan
Qrendi
Safi
Senglea
Tarxien
Xgħajra
Guardian Angel Resource Centre (Ħamrun)
Helen Keller Resource Centre (Qrendi)
San Miguel Resource Centre (Pembroke)
Dun Manwel Attard Resource Centre (Wardija)
Għajnsielem
Għarb
Kerċem
Qala
San Lawrenz
Sannat
Xewkija
Żebbuġ
Sannat Unit, Resource Centre (Sannat)
Summer Programme Number of Days per Week
1 ☐
2 ☐
3 ☐
4 ☐
5 ☐
Please mark ( ) those days when your child/ren will be using one of the centres. Monday
Tuesday
Wednesday
Thursday
Friday
1st Child 2nd Child 3rd Child The core hours for the Summer Programme are between 8:30am and 12:30pm. Do you need extra hours of service? Yes ☐ No ☐ The fee per child is €25 for the whole Summer Programme from Monday and Friday between 8:30 am and 12:30 pm. The hourly rate for extra hours of service is €0.80c per hour. Please indicate the number of hours of service you need in the table below. (For example, from 7:00 am to 12:30 pm). Monday
Tuesday
Wednesday
Thursday
Friday
1st Child
From
To
From
To
From
To
From
To
From
To
2nd Child
From
To
From
To
From
To
From
To
From
To
3rd Child
From
To
From
To
From
To
From
To
From
To
Extra hours
10 = €8 ☐
30 = €24 ☐
50 = €40 ☐
For Office Use Only €25 + Extra Hours Bundle € ___ = Total € ___
2
Personal Details 1st Child Surname
________________
Name
Date of Birth
______________
Child lives with
Parent 1 ☐
School
___________________________________________________________________
Allergies
Specify
☐
None
☐
Medical Condition
Specify
☐
None
☐
Disability
Specify
☐
None
☐
Special Circumstances
Specify
☐
None
☐
Age
_______________ ____
Parent 2 ☐
Both ☐
ID Card
___________
Language/s
______________________
Others ☐
______________________
2nd Child Surname
________________
Date of Birth
______________
Name
Child lives with
Parent 1 ☐
School
___________________________________________________________________
Allergies
Specify
☐
None
☐
Medical Condition
Specify
☐
None
☐
Disability
Specify
☐
None
☐
Special Circumstances
Specify
☐
None
☐
Age
Parent 2 ☐
_______________ ____ Both ☐
ID Card
___________
Language/s
______________________
Others ☐
______________________
3rd Child Surname
________________
Date of Birth
______________
Name
Child lives with
Parent 1 ☐
School
___________________________________________________________________
Allergies
Specify
☐
None
☐
Medical Condition
Specify
☐
None
☐
Disability
Specify
☐
None
☐
Special Circumstances
Specify
☐
None
☐
Age
_______________ ____
Parent 2 ☐
Both ☐
ID Card
___________
Language/s
______________________
Others ☐
______________________
PARENTS’ / GUARDIANS DETAILS PARENT 1 Surname: Mobile No: Email Address:
_________________
Name:
_______________
ID Card:
____________
_________________
Home No:
_______________
Work No:
____________
__________________________________________________________________ Postal Code:
Address: Relationship with Child?
_______________________________
____________
Language/s:______________________ 3
PARENT 2 Surname: Mobile No: Email Address:
_________________
Name:
_________________
Home No:
______________
ID Card:
____________
______________
Work No:
____________
__________________________________________________________________ Postal Code:
Address: Relationship with Child?
_______________________________
____________
Language/s:______________________
CUSTODY ACCESS Name of person who has custody of child:
____________________________________________
Is there a Court Order? If YES, please speak to Centre Coordinator.
Yes ☐
No ☐
PHOTOS / FOOTAGE Permission is hereby granted to Klabb 3 -16 and FES to use photos and footage of children in promotional material.
Yes ☐
No ☐
IN CASE OF EMERGENCY PLEASE CONTACT THE PERSON/S LISTED BELOW BESIDES THE PARENTS 1st Person
2nd Person
Name & Surname:
_______________________________________________
ID Card No:
______________
Mobile No:
______________
Home Tel No:
______________
Work Tel No:
______________
Relationship with Child/ren
_______________________________________________
Name & Surname:
_______________________________________________
ID Card No:
______________
Mobile No:
______________
Home Tel No:
______________
Work Tel No:
______________
Relationship with Child/ren
_______________________________________________
The following documents rae to be presented with this application form:
For Office use only
Copy of ID card of Parent/s and/or Guardian/s
☐
Ref. No: ______________
Copy of the ID Card of person/s authorised to pick up the child/ren
☐
Date of Registration: ______________
Statementing Board Report (if applicable)
☐
Receipt No: ______________
Custody documents (if applicable)
☐
Paid by Cheque ☐ No: ____________ Cash ☐Amount paid: €___________ Signature of FES personnel:
4