Membership Application Form

Your membership to 31.03.2025 will save you:

• Up to 5% discount on your DBS Checks (processing fees) with U-Check
• £20.00 per person booking onto Training courses (there is a £20.00pp fee for non-members)
• £50.00 off the full price when you buy an in-club workshop

YOU will also have access to:

• Free advertising on www.clybiauplantcymru.org for your Club – so that parents/carers can
find your setting
• Free recruitment advertising on www.clybiauplantcymru.org and social media
• Free expert guidance from a team of Childcare Business Development Officers on business
planning, expansion, registration, quality assurance and all other aspects of Out of School
Childcare Club provision.
• Support from your regional office, which provides guidance on childcare & business issues.
• Free weekly ebulletin
• Free quarterly newsletter with activity and fundraising ideas
• Free publications, including Stepping Out (full of sample policies and procedures to help you meet
National Minimum Standards)
• Opportunity to be part of our Board of Trustees and shape the future for Out of School Childcare
in Wales.

Manage your club’s information online through our portal. Here you can update your details on our Find a Club, complete on OSCA, and communicate changes with your local Childcare Business Development Officer.

Apply online!

Club / Organisation Name: *

Main Contact Name: *

Contact Email *

Do you have (tick all that apply): *

• Breakfast Childcare Club
• After School Childcare Club
• Holiday Childcare Club
• FREE Breakfast Initiative Club

Club Address: *

Club County:

Club Postcode: *

Please tick here to give your consent to contact: *

• I consent

Email Address: (Your certificate will be emailed to this address, and this will be the email address you need to login to the Member's area of the website) *

Website address:

Club Listing *

• Yes, please list our club
• No thank you, we do not wish to be listed

Registered Person / Responsible Individual: *

CIW Registered:

• Yes
• No

CIW Registration No:

Main language of your club: *

• English
• Welsh
• Bilingual
• Other

What is the legal structure of your club? *

• Company limited by guarantee
• Unincorporated Association
• Registered Charity
• School
• Sole Trader
• Limited company (private)
• Partnership
• Other (please state)

Charity Number:

Other:

Is there anything you would like to tell us about your club – e.g. that you specialise in working with special needs etc?

Single Item *

Price: £55.00

Do you want to add an additional club? (1)

• Yes - £10.00

Name: *

Contact Email: *

Do you have (tick all that apply) *

• Breakfast Childcare Club
• After School Childcare Club
• Holiday Childcare Club
• FREE Breakfast Initiative Club

Club Address: *

Club County:

Club Postcode:

Please tick here to give your consent to contact: *

• I consent

Email Address: (Your certificate will be emailed to this address, and this will be the email address you need to login to the Member's area of the website) *

Website address:

Club listing *

• Yes, please list our club
• No thank you , we don't wish to be listed

Registered person / Responsible individual

CIW Registered:

• Yes
• No

CIW Registration No:

Main language of club:

• English
• Welsh
• Bilingual
• Other

What is the legal structure of your club? *

• Company limited by guarantee
• Unincorporated Association
• Registered Charity
• School
• Sole Trader
• Limited company (private)
• Partnership
• Other (please state)

Charity Number:

Other:

Is there anything you would like to tell us about your club – e.g. that you specialise in working with special needs etc?

Do you want to add an additional club? (2)

• Yes

Name *

Contact Email *

Do you have (tick all that apply) *

• Breakfast Childcare Club
• After School Childcare Club
• Holiday Childcare Club
• FREE Breakfast Initiative Club

Club Address: *

Club County:

Club Postcode: *

Please tick to give your consent to contact *

• I consent

Email Address: (Your certificate will be emailed to this address, and this will be the email address you need to login to the Member's area of the website) *

Website Address:

Club Listing: *

• Yes, please list my club
• No thank you, we do not wish to be listed

Registered Person / Responsible Individual *

CIW Registered:

• Yes
• No

CIW Registration No:

Main language of club:

• English
• Welsh
• Bilingual
• Other

What is the legal structure of your club? *

• Company limited by guarantee
• Unincorporated Association
• Registered Charity
• School
• Sole Trader
• Limited company (private)
• Partnership
• Other (please state)

Charity Number:

Other:

Is there anything you would like to tell us about your club – e.g. that you specialise in working with special needs etc?

Do you want to add an additional club? (3)

• Yes

Name *

Contact Email *

Do you have (tick all that apply) *

• Breakfast Childcare Club
• After School Childcare Club
• Holiday Childcare Club
• FREE Breakfast Initiative Club

Club Address *

Club County:

Club Postcode *

Please tick to give your consent to contact *

• I consent

Email Address: (Your certificate will be emailed to this address, and this will be the email address you need to login to the Member's area of the website) *

Website Address:

Club Listing: *

• Yes, please list my club
• No thank you, we do not wish to be listed

Registered Person / Responsible Individual *

CIW Registered:

• Yes
• No

CIW Registration No:

Main language of club:

• English
• Welsh
• Bilingual
• Other

What is the legal structure of your club? *

• Company limited by guarantee
• Unincorporated Association
• Registered Charity
• School
• Sole Trader
• Limited company (private)
• Partnership
• Other (please state)

Charity Number:

Other:

Is there anything you would like to tell us about your club - e.g. that you specialise in working with special needs etc ?

Do you want to add an additional club? (4)

• Yes

Name *

Contact Email *

Do you have (tick all that apply) *

• Breakfast Childcare Club
• After School Childcare Club
• Holiday Childcare Club
• FREE Breakfast Initiative Club

Club Address *

Club County:

Club Postcode *

Please tick to give your consent to contact *

• I consent

Email Address: (Your certificate will be emailed to this address, and this will be the email address you need to login to the Member's area of the website) *

Website Address:

Club Listing: *

• Yes, please list my club
• No thank you, we do not wish to be listed

Registered Person / Responsible Individual *

CIW Registered:

• Yes
• No

CIW Registration No:

Main language of club:

• English
• Welsh
• Bilingual
• Other

What is the legal structure of your club? *

• Company limited by guarantee
• Unincorporated Association
• Registered Charity
• School
• Sole Trader
• Limited company (private)
• Partnership
• Other (please state)

Charity Number:

Others:

Is there anything you would like to tell us about your club - e.g. that you specialise in working with special needs etc ?

Do you want to add an additional club? (5)

• Yes

Name *

Contact Email *

Do you have (tick all that apply) *

• Breakfast Childcare Club
• After School Childcare Club
• Holiday Childcare Club
• FREE Breakfast Initiative Club

Club Address *

Club County:

Club Postcode *

Please tick to give your consent to contact *

• I consent

Email Address: (Your certificate will be emailed to this address, and this will be the email address you need to login to the Member's area of the website) *

Website Address:

Club Listing: *

• Yes, please list my club
• No thank you, we do not wish to be listed

Registered Person / Responsible Individual *

CIW Registered:

• Yes
• No

CIW Registration No:

Main language of club:

• English
• Welsh
• Bilingual
• Other

What is the legal structure of your club? *

• Company limited by guarantee
• Unincorporated Association
• Registered Charity
• School
• Sole Trader
• Limited company (private)
• Partnership
• Other (please state)

Charity Number:

Others:

Is there anything you would like to tell us about your club - e.g. that you specialise in working with special needs etc ?

Do you want to add an additional club? (6)

• Yes

Name *

Contact Email *

Do you have (tick all that apply) *

• Breakfast Childcare Club
• After School Childcare Club
• Holiday Childcare Club
• FREE Breakfast Initiative Club

Club Address *

Club County:

Club Postcode *

Please tick to give your consent to contact *

• I consent

Email Address: (Your certificate will be emailed to this address, and this will be the email address you need to login to the Member's area of the website) *

Website Address:

Club Listing: *

• Yes, please list my club
• No thank you, we do not wish to be listed

Registered Person / Responsible Individual *

CIW Registered:

• Yes
• No

CIW Registration No:

Main language of club:

• English
• Welsh
• Bilingual
• Other

What is the legal structure of your club? *

• Company limited by guarantee
• Unincorporated Association
• Registered Charity
• School
• Sole Trader
• Limited company (private)
• Partnership
• Other (please state)

Charity Number

Other:

Is there anything you would like to tell us about your club - e.g. that you specialise in working with special needs etc ?

Do you want to add an additional club? (7)

• Yes

Name *

Contact Email *

Do you have (tick all that apply) *

• Breakfast Childcare Club
• After School Childcare Club
• Holiday Childcare Club
• FREE Breakfast Initiative Club

Club Address *

Club County:

Club Postcode *

Please tick to give your consent to contact *

• I consent

Email Address: (Your certificate will be emailed to this address, and this will be the email address you need to login to the Member's area of the website) *

Website Address:

Club Listing: *

• Yes, please list my club
• No thank you, we do not wish to be listed

Registered Person / Responsible Individual *

CIW Registered:

• Yes
• No

CIW Registration No:

Main language of club:

• English
• Welsh
• Bilingual
• Other

What is the legal structure of your club? *

• Company limited by guarantee
• Unincorporated Association
• Registered Charity
• School
• Sole Trader
• Limited company (private)
• Partnership
• Other (please state)

Charity Number:

Other:

Is there anything you would like to tell us about your club - e.g. that you specialise in working with special needs etc ?

Do you want to add an additional club? (8)

• Yes

Name *

Contact Email *

Do you have (tick all that apply) *

• Breakfast Childcare Club
• After School Childcare Club
• Holiday Childcare Club
• FREE Breakfast Initiative Club

Club Address *

Club County:

Club Postcode *

Please tick to give your consent to contact *

• I consent

Email Address: (Your certificate will be emailed to this address, and this will be the email address you need to login to the Member's area of the website) *

Website Address:

Club Listing: *

• Yes, please list my club
• No thank you, we do not wish to be listed

Registered Person / Responsible Individual *

CIW Registered:

• Yes
• No

CIW Registration No:

Main language of club:

• English
• Welsh
• Bilingual
• Other

What is the legal structure of your club? *

• Company limited by guarantee
• Unincorporated Association
• Registered Charity
• School
• Sole Trader
• Limited company (private)
• Partnership
• Other (please state)

Charity Number:

Other:

Is there anything you would like to tell us about your club - e.g. that you specialise in working with special needs etc ?

Do you want to add an additional club? (9)

• Yes

Name *

Contact Email *

Do you have (tick all that apply) *

• Breakfast Childcare Club
• After School Childcare Club
• Holiday Childcare Club
• FREE Breakfast Initiative Club

Club Address *

Club County:

Club Postcode *

Please tick to give your consent to contact *

• I consent

Email Address: (Your certificate will be emailed to this address, and this will be the email address you need to login to the Member's area of the website) *

Website Address:

Club Listing: *

• Yes, please list my club
• No thank you, we do not wish to be listed

Registered Person / Responsible Individual *

CIW Registered:

• Yes
• No

CIW Registration No:

Main language of club:

• English
• Welsh
• Bilingual
• Other

What is the legal structure of your club? *

• Company limited by guarantee
• Unincorporated Association
• Registered Charity
• School
• Sole Trader
• Limited company (private)
• Partnership
• Other (please state)

Charity Number:

Other:

Is there anything you would like to tell us about your club - e.g. that you specialise in working with special needs etc ?

Do you want to add an additional club? (10)

• Yes

Name *

Contact Email *

Do you have (tick all that apply) *

• Breakfast Childcare Club
• After School Childcare Club
• Holiday Childcare Club
• FREE Breakfast Initiative Club

Club Address *

Club County:

Club Postcode *

Please tick to give your consent to contact *

• I consent

Email Address: (Your certificate will be emailed to this address, and this will be the email address you need to login to the Member's area of the website) *

Website Address:

Club Listing: *

• Yes, please list my club
• No thank you, we do not wish to be listed

Registered Person / Responsible Individual *

CIW Registered:

• Yes
• No

CIW Registration No:

Main language of club:

• English
• Welsh
• Bilingual
• Other

What is the legal structure of your club? *

• Company limited by guarantee
• Unincorporated Association
• Registered Charity
• School
• Sole Trader
• Limited company (private)
• Partnership
• Other (please state)

Numbers

Other:

Is there anything you would like to tell us about your club - e.g. that you specialise in working with special needs etc ?

Do you want to add an additional club? (11)

• Yes

Name *

Contact Email *

Do you have (tick all that apply) *

• Breakfast Childcare Club
• After School Childcare Club
• Holiday Childcare Club
• FREE Breakfast Initiative Club

Club Address *

Club County:

Club Postcode *

Please tick to give your consent to contact *

• I consent

Email Address: (Your certificate will be emailed to this address, and this will be the email address you need to login to the Member's area of the website) *

Website Address:

Club Listing: *

• Yes, please list my club
• No thank you, we do not wish to be listed

Registered Person / Responsible Individual *

CIW Registered:

• Yes
• No

CIW Registration No:

Main language of club:

• English
• Welsh
• Bilingual
• Other

What is the legal structure of your club? *

• Company limited by guarantee
• Unincorporated Association
• Registered Charity
• School
• Sole Trader
• Limited company (private)
• Partnership
• Other (please state)

Charity Number:

Other

Is there anything you would like to tell us about your club - e.g. that you specialise in working with special needs etc ?

Do you want to add an additional club? (12)

• Yes

Name *

Contact Email *

Do you have (tick all that apply) *

• Breakfast Childcare Club
• After School Childcare Club
• Holiday Childcare Club
• FREE Breakfast Initiative Club

Club Address *

Club County:

Club Postcode *

Please tick to give your consent to contact *

• I consent

Email Address: (Your certificate will be emailed to this address, and this will be the email address you need to login to the Member's area of the website) *

Website Address:

Club Listing: *

• Yes, please list my club
• No thank you, we do not wish to be listed

Registered Person / Responsible Individual *

CIW Registered:

• Yes
• No

CIW Registration No:

Main language of club:

• English
• Welsh
• Bilingual
• Other

What is the legal structure of your club? *

• Company limited by guarantee
• Unincorporated Association
• Registered Charity
• School
• Sole Trader
• Limited company (private)
• Partnership
• Other (please state)

Charity Number:

Others:

Is there anything you would like to tell us about your club - e.g. that you specialise in working with special needs etc ?

Do you want to add an additional club? (13)

• Yes

Name *

Contact Email *

Do you have (tick all that apply) *

• Breakfast Childcare Club
• After School Childcare Club
• Holiday Childcare Club
• FREE Breakfast Initiative Club

Club Address *

Club County:

Club Postcode *

Please tick to give your consent to contact *

• I consent

Email Address: (Your certificate will be emailed to this address, and this will be the email address you need to login to the Member's area of the website) *

Website Address:

Club Listing: *

• Yes, please list my club
• No thank you, we do not wish to be listed

Registered Person / Responsible Individual *

CIW Registered:

• Yes
• No

CIW Registration No:

Main language of club:

• English
• Welsh
• Bilingual
• Other

What is the legal structure of your club? *

• Company limited by guarantee
• Unincorporated Association
• Registered Charity
• School
• Sole Trader
• Limited company (private)
• Partnership
• Other (please state)

Charity Number:

Other:

Is there anything you would like to tell us about your club - e.g. that you specialise in working with special needs etc ?

Total

£0.00

Submit