Child Profile

At Bee Active we recognise that every child is brilliantly unique.
We want to ensure that every child that uses our services has an amazing experience, every time.

By completing the form below with as much detail as possible you will be helping our team to really understand your child and their individual needs.

Your Name*

First Last

Email Address*

Contact Number*

Who are you completing this form for? (Child Name)*

First Last

Which venue do you attend (or plan to attend)*

Venue

Please indicate if your child has an existing diagnosis, is awaiting an Educational Health Care Plan (EHCP) assessment or has other needs that have not been formally identified:*

My child has a known medical diagnosis

My child is awaiting or currently undergoing an EHCP assessment

My child’s needs have not been formally identified

Please give us information about your child’s known medical diagnosis, individual needs or disability?*

Does your child require/receive one to one support in their school or care setting?*

Yes

Please note that we are unable to provide one-to-one support for children in our care. Whilst we endeavour to ensure that every child can access our services, we are simply not able to meet these requirements with our staffing structure.

If your child does require more intensive support to access our programmes, there are a number of options available to make this happen. Our team will be in touch with you to arrange a follow up additional needs meeting.

Please give us some information on how this may affect your child's ability to participate in our activities including any reasonable adjustments we can make:*

Does your child have any difficulties communicating with others?*

Yes

Please give details:*

What can our team do to help your child with this?*

Does your child have any mobility difficulties?*

Yes

Please give details:*

What can our team do to help your child with this?*

Does your child have any personal care or toileting needs?*

Yes

Please give details:*

What can our team do to help your child with this?*

Does your child have any behavioral difficulties?*

Yes

Please give details:*

What can our team do to help your child with this?*

Does your child require medication?*

Yes

Bee Active staff will only administer medicines if absolutely necessary and they are comfortable and confident to do so. Please consider if alternative arrangements can be made.

Before we can administer medicine on your behalf you will need to complete our medication consent form - a link to this will be included in the confirmation email from this form.

Medication Administration

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Name of Medication*

Hidden

What dose of the medication does your child need?*

Hidden

How often does your child need medication?*

Hidden

Does the medication need to be stored in a specific way?*

Hidden

Does your child self administer the medication?*

Yes

No, they need an adults help

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Is there any specific training experience that our team needs to access to be able to administer the medication safely?*

Are there any other professionals that work closely with your child that we could contact to discuss their needs if required?*

E.g. SENDCO, Occupational Therapist, Support Worker etc.

Yes

Name*

Role*

Email*

Phone*

Can you tell us a little bit more about when your child is feeling a certain way?

What can we do to help your child feel happy and content?*

If your child is anxious or worried …

Triggers*

Behaviours*

What can we do to support your child in this situation?*

If your child is unhappy, upset or angry …

Triggers*

Behaviours*

What can we do to support your child in this situation?*

Thank you for sharing this information with us. We hope that by working together we can make your child’s time with Bee Active safe and enjoyable. If your child’s needs or diagnosis changes at any point in the future then please re visit this from where you will be able to update your entry.

Child Profile

At Bee Active we recognise that every child is brilliantly unique. We want to ensure that every child that uses our services has an amazing experience, every time.

Medication Administration

Can you tell us a little bit more about when your child is feeling a certain way?

If your child is anxious or worried …

If your child is unhappy, upset or angry …

At Bee Active we recognise that every child is brilliantly unique.
We want to ensure that every child that uses our services has an amazing experience, every time.