Springfield Membership Application

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From 1st January 2024, The Springfield Centre will be moving to a membership-only model. Please read through this information carefully to ensure you have all the information you need.

Why have we moved to memberships?

The Springfield Centre is an independent charity that runs largely on the support of our incredible volunteers and trustees, alongside a team of paid staff. Recently, the centre has faced damage by some of the people who use it. It is unsustainable for us to keep fixing this as it is taking vital resources away from other sessions that we can provide. By moving to a model where young people have to be members of the centre, they will also be agreeing to ensure that they treat staff and the centre with respect or their membership will be revoked. We are making this change to ensure that every young person who comes to the centre is safe and enjoys their time with us. Introducing memberships will also allow us to enhance the work that we do with young people, allowing us to invest in new opportunities. A significant amount of the funding we receive relies on the number of young people we can reach, and some of the behaviour occurring within the centre is meaning that other young people no longer wish to attend. To ensure that we can continue to provide the services we do, we need to make these changes.

What are the benefits to memberships?

By being a member of The Springfield Centre, young people will be entitled to come to the different sessions we have on offer here. By paying an annual membership fee, young people will then be entitled to:

Our monthly Girls and Boys Groups for free

Our multisports sessions for £1 per week

The Thursday Youth Clubs run by Bradford Youth Service

The option to book onto our other sessions for additional cost (these will be outlined later in this letter).

Access to support from professional youth workers and support staff and the potential for young people to progress onto volunteering and paid roles in the future.

Training opportunities for young people to develop skills in the trades, art, cooking, sports and a range of other industries.

What do I need to do to sign my young person up for a membership?

For your young person to be a member of the Springfield Centre, you must do the following:

Complete the application form here

Your young person must then fill in the section for them, having read the terms of their membership. Please make sure they understand that their refusal to follow any of the boundaries outlined here may result in their membership being revoked.

Pop into the Springfield Centre to pay the membership fee either in cash or on card. If you have any questions, we’ll be holding a membership drop-in for parents on Wednesday 3rd January between 5-7pm.

What about if I can’t afford the annual membership fee?

If you can’t afford to pay the annual membership fee, email leonie.hudson@thespringfieldcentre.co.uk or call us on 07745518026. We may be able to offer reduced or funded places, but this will be done on a case-by-case basis.

Consent

What is your child's full name? *

What is your child's date of birth? *

YYYY

Full name of parent/guardian: *

Relationship to child: *

Email address: *

Address: *

Postcode:

Emergency contact name: *

Emergency contact telephone number: *

Second Emergency Contact:

Please note that it is essential that we are able to contact one of these two numbers in the event of an emergency.

Name: *

Relationship to child: *

Telephone number: *

What school does your child currently attend? *

Does your child receive benefits-related Free School Meals? *

Yes

Does your child have any medical conditions that we need to be aware of?

Does your child have any special dietary needs?

Does your child suffer from:

Asthma

Hay Fever

Diabetes

Nut Allergy

Any other allergy

If 'other allergy', please give details:

Will your child carry medication?

Yes

Clear selection

If yes, please specify:

Information for Parents and Carers

Springfield Centre aims to provide a safe and enjoyable experience for every child or young person. To help us do this, please note the following important information.

Parents and carers must ensure they notify us of any changes to the information given on the form.
Parents and carers must make arrangements for children to be brought to and from the activity safely and on time. If a parent or carer is not able to collect their child, they need to let us know in advance who will be doing so.
We cannot take responsibility for any damaged clothing and/or personal items during the activity.
Parents and carers should ensure children have sufficient water, food, clothing, sun lotion and medication (where appropriate) for the duration of the activity.
We may share information with other third parties if it is necessary to ensure the safety and wellbeing of children and young people who attend our activities. We only do this where relevant and necessary, by filling in this form you are consenting to this information being shared for this purpose.

I consent to:
*

Springfield Centre keeping a record of this form for health and safety reasons

Any medical treatment that my child may need being given in an emergency

That membership fees are non-refundable, and if my child has their membership revoked then I am not entitled to receive money back.

My child taking part in the activities

Required

I consent to my child being filmed or photographed during the activity, with the possibility that these photographs/media recordings may be used for publications or marketing publicity.
*

Yes

Signed: (name)

Date:

YYYY

Information for children and young people (please allow your young person to fill out this section)

I agree to (please tick):

Taking part in the activity

Talk to Springfield Centre member of staff if I am not comfortable at any time during the activity so they can help me or arrange for me to do something else

Springfield Centre keeping a record of this form so they have the information they need to keep me safe during the activity

Receiving any emergency medical treatment that I may need

Being filmed or photographed during the activity. I understand that the photographs or film might be used to tell other people about what Springfield Centre does.

I also agree to: *

Not cause damage to the Springfield Centre or any of its belongings.

Not smoke or vape on the premises.

Not be verbally or physically abusive to either staff, other users or visitors.

Not try to force entry to the building.

Leave the building after the session has ended.

Treat staff and volunteers with respect and listen to any safety information.

Required

Signed: (young person's name)

Date:

YYYY

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