Childcare-Consent-Information-For-1320054318

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Consent
The Westminster Family Information Service (FIS) will help you in marketing your service by making your
information available to the public, and other local authorities, in the following ways:
 Telephone - people who ring us for information are given contact details.
 Post/Fax/E-mail - printed lists of childcare providers are posted/faxed or e-mailed in response to
enquiries.
 Face-to-face - printed lists are given to anyone who visits our offices or those people who visit our
outreach events.
 Internet - Information is made available through Local Authority Website FIS web pages
(www.westminster.gov.uk/fis ), government websites such as Direct Gov (www.direct.gov.uk) and other
licensed channels. Please note that Information available via the internet may be accessed by people
in countries and territories outside the European Union (EU) which may operate different levels of data
protection than apply in the United Kingdom.
NOTE - Childminders/Home Childcarers/Childcare on Domestic Premises and the Internet:
You can opt for Internet advertisement with a suppressed address should this be preferred, however, it
should be noted that web based enhancements for those searching for childcare will be reduced with this
option.
A suppressed address will consist of only your registered Name, Telephone Numbers, Email/Website
addresses and partial physical address (without pinpointing your exact dwelling). You may withdraw or
change your consent at any time in the future by writing to the Westminster FIS at
1st Floor 215 Lisson Grove London NW8 8LF
Declaration - I have read the information provided above and agree for my details to be made available to
the public in the following ways: (Please mark as appropriate)
Please double click all those that you wish your details to be publicised.

Telephone
In Writing (Post, Fax, Email & Face-to-Face)
Do not wish to be advertised
Internet Permission:

Childcare on Non Domestic Childminders / Home Childcarers /
Premises ONLY Childcare on Domestic Premises ONLY
Internet - (Local Authority Websites) Internet - (Local Authority Websites)
Internet – (Local Authority & Internet – (Local Authority & Government
Government Websites, Licensed Websites, Licensed Channels)
Channels)
Internet - (Local Authority Website with
Suppressed Address)
Internet – (Local Authority, Government
Websites, Licensed Channels with a
Suppressed Address)

Name (Please Print)

Signature
Setting Name (If
Applicable)
Ofsted Certificate Number *REQUIRED*
Date
Please note that unless ALL of this form is completed, signed and returned to the Family Information Service we will be unable to make
your details available to enquirers looking for childcare and other family-related services.

Data Protection Act: the information you provide will be held by the Family Information Service and supplied to the public and on the Internet only if
you have given your consent. If you do not give consent then it will be held for local authority regulated mailings and statistical purposes only.

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WCC Family Information Services Consent & Information form for providers of services for
families

CONTACT DETAILS

Provider Name: Title e.g. Mr/Mrs/Miss/Dr

Name

Correct name if changed

Work Address: Postcode

S reet 1

Street 2

Village / Town Area

Postal Town

ounty

Telephone Number

Fax Number

E-Mail Address

Web site Address

We assume that you will be working from home. If not please give details below.

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Consent

I have read and understand the explanation provided in this Agreement for use of information from
child care providers. I understand that it is a fair processing and privacy notice under the Data
Protection Act 1998.

I consent to you making available to the public the information I have supplied – which may include
personal data and sensitive personal data – in the following ways:

by phone or face to face (double click grey box and choose
‘checked’)
in writing, in print or by email or fax
digitally by us (as explained in the notes which accompany this form)

For childminders only

If I have selected the ‘digitally by us’ option above I:
do
do not
want my full address to be published.

Name ___________________ Signature ____________________

Setting name ___________________ Date _____________________2011

Getting access to your information

You can see how your information appears to the public by going to:

 www.westminster.gov.uk/fis

You have the right to ask for a copy of any personal data or sensitive personal data we store about
you by contacting us by writing to:

Westminster Family Information Service Children’s Services 1st Floor 215 Lisson Grove
London NW8 8LF for subject access requests under the Data Protection Act

If you are unhappy

If you are unhappy about anything relating to the processing or use of your personal data or
sensitive personal data, please contact us at FIS 1st Floor 215 Lisson Grove London NW8 8LF. If
you are not satisfied with our response, you may complain to the Information Commissioner’s
Office. Their helpline number is 08456 30 60 60. Information on and forms for making complaints
are available at http://www.ico.gov.uk/complaints/data_protection.aspx.

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Family Information Services - Westminster Council

Agreement for use of information from providers of services for families

How we will use your information

Introduction

Westminster City Council (throughout this document referred to as “we” or “us”)
would like to make information – about you and the services you provide –
available to other local authorities, members of the public and other services
which parents use.

If you agree to us using this information, we will be able to:
- promote your services to parents, carers and other professionals
- provide you with details of training, development and other opportunities.

Under the Data Protection Act 1998

We need your permission to store and use the information that you give us
because some of it may be personal data or sensitive personal data. We will be a
data controller under this Act.

The personal data could be your name, email or home address and other contact
details. It could also appear in a description of the services being provided by an
individual (as opposed to an organisation).

The information could also – because of your involvement in delivering a
particular activity or otherwise – contain sensitive personal data pertaining to your
racial or ethnic origin, political opinions, religious beliefs, physical or mental health
or condition or sexual life, for example.

Please note we take no responsibility for the accuracy of the information supplied
by Ofsted.

Allowing us to use information you ‘own’

You may own the copyright or other similar rights in some of the information that
you give us, for example text that describes your services that appear on your
website, within leaflets or other marketing materials.

In case this applies to some of the information you give us, we need your
agreement to store, use and pass on this information as well.

Working with partners

We deliver our Families Information Service in partnership with Children Centres;
PCT; Job Centre Plus; Private, Independent and Voluntary Childcare
Organisations, Children and Adult Services within WCC and other 3rd Party

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Channels i.e. Directgov. As a result, we also need your agreement for them to
store and use and pass on your information on our behalf.

Your agreement

BY
providing us with your information – which may include personal data,
sensitive personal data and information in which you own the copyright or
other similar rights

AND
completing the attached consent form

YOU ARE
specifically giving us [and the partners listed above] permission to:

1. store the information you have given us and use it for the following purposes:
 helping you promote your services
 providing information to parents and prospective parents
 helping them choose services which fit their needs
 running our Families Information Service
 assessing whether there are enough services of the right kind available
locally
 contributing to government initiatives to support and provide information
to parents

2. depending on which options you select, make this available to members of the
public:
 verbally - by phone or face-to-face
 in writing – in print or by email or fax
 digitally – see below for an explanation of this

Understanding digital publishing

Digitally means:
 via the Internet, for example on websites or other online services
 on mobile phones on websites designed for mobiles, mobile
applications and text or MMS messaging
 within kiosks
 digital displays for example televisions, monitors and projectors
 other digital communications mechanisms and devices.

By agreeing to us making your information available digitally, you are enabling us
to publish it on, for example:
 our Families Information Service website www.westminster.gov.uk/fis
 our local authority website www.westminster.gov.uk
 kiosks in our one stop shops, libraries or children’s centres
 other designated sites i.e. youth /leisure portals

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It is really important that you do allow us to make your information available in
these ways because they are often the most convenient ways for parents to
access it.

Personal data on the Internet

Information, personal data, and sensitive personal data available via the Internet
may be accessed in territories outside the European Union, which may operate
different levels of data protection than apply within the European Union.

For home childcarers only

If you provide childcare from your or someone else’s home you may tell us to hide
part of the address on the Internet and other digital media. This will prevent
people from finding out your specific address.

In this case, we will only allow part of your postal address to be published. People
searching online or using digital searches may find it more difficult to find details
about your services as a result.

The ‘other duly authorised organisations’ could include:
 schools
 children’s centres
 voluntary organisations
 charities
 companies
who the Department has evaluated as suitable, who can help us reach more
parents and who have to abide by a code of conduct.

The code of conduct and an up-to-date list of the organisations that DoE have
authorised in this way is available at:

http://www.DoE.gov.uk/

How we will handle your information

Westminster City Council and its partner bodies (listed above) are all required to
store your personal data and sensitive personal data securely as required by the
Data Protection Act 1998.

The information you supply to us – which may include personal data and sensitive
personal data – will be stored and used by us for a maximum of six (6) months.

We or partner body acting on behalf of LA] will then contact you again and ask
you to confirm that it is still accurate. [We/they] will also ask you to confirm if –
and in what ways – you still want it to be made available.

If you do not provide this confirmation within two (2) months the information will
be removed from our systems and the systems of all the organisations that we
have shared it with.

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FIS CONTACT DETAILS
If you would like to use the internet and DOE delivery channels to display your
childcare services please indicate below which telephone number you would like to
use?
(Tick appropriate
Use own telephone number
box.)
Use FIS telephone number
Use contact of your choice
If you have elected to use a contact of your choice
e.g. an assistant or group Co-ordinator, please ensure that you have filled in their
details below, gained their permission and that they have signed below.

Provider Name: Title e.g. Mr/Mrs/Miss/Dr

First Name

Last Name

Work Address: Postcode

House Number / Name

Street 1

Street 2

Village / Town Area

Postal Town

County

Telephone Number

Fax Number

E-Mail Address

Web site Address

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signature: date:

CARE SCHEME DETAILS
What age range of children are you prepared to care for?
From: Years Months
To: Years Months

Vacant Places
Immediate Vacancies? YES NO
Number 0-11 mths 1-5 yrs 5-8 yrs Over 8 yrs
Details: e.g.: full time or part time, dates available etc..

Waiting List
Do you have a waiting list? YES NO
If yes - Number on list?
- Average waiting time?

When is childcare available?

Full time - Over 4 hrs Term Time
Part Time School Holidays
Evenings All Year
Weekends Before School

Other e.g. Overnight
Opening Hours
AM FROM TO PM FROM TO
Monday
Tuesday
Wednesday

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Thursday
Friday
Saturday
Sunday
Other:

How many weeks per year are you open?
Any times that care is NOT available? e.g. Bank Holidays

Costs

Fill in as appropriate to your pricing policy;
Hour
Day
Week
Other
Are there any circumstances in which costs are reduced? YES NO

Details

Any age related price differences?

Details

Equal Opportunities
Do you have experience offering:
. Varied Religious / Cultural Provisions? YES NO
Details :
. Special Needs Provisions? YES NO
Details :

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. Special Diets Catered for? YES NO
Details :
. Do you have Wheelchair access? YES NO
Details :

. Number of children with SEN attending?
. Number of children with disabilities?

School Pickup

Will you drop children off at / collect from local schools? YES NO

If yes please give
details of which
schools:

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Other Information

. The number of rooms available to the children in your care?
. Please give details below of your admissions policy
e.g. Do you give priority to a certain age group, or children who live locally to you etc.

. Do you operate a no smoking policy? YES NO
. Do you have spaces for parking? YES NO
. Do you have your own transport (To use with the children?) YES NO
. Do you accept tax credits/childcare vouchers? YES NO

. Which public transport routes run near you?
(Bus - give number if possible / Train - give station etc).

Facilities
Do you Provide: (please Tick)
Toys Quiet Area
Outdoor Play Area Sleeping Area
Kitchen / Cooking Pets
Books Visits / Outings
TV / Video Dressing up
Songs and Rhymes Sand / Water Play

Other : please give details

STAFF / QUALIFICATIONS

Languages spoken: (either fluently or partially)
English Gujarati
French Cantonese

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Spanish Turkish
German British Sign Language
Urdu Arabic

Other : please give details

Qualifications

Name of National Date
Awarding Body Subject Staff Name
Qualification Code Gained
6 Week Reg.
ICP
DCP
ECP
Food Hygiene
First Aid
SP Needs
Other

GENERAL INFO
. Are you a member of any childcare organisations? YES NO

Details e.g. NCMA, PLA, Local CM group.

. Have you gained any Quality Assurance Awards? YES NO
Details e.g. NCMA Accreditation.

. Include any other information with which you would like to personalise your entry

Thank you for your time in completing this form. Should you have any questions
regarding this form please do not hesitate to contact :

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Westminster Family Information Service on 020 7641 7929
Please return this form to
Westminster Family Information Service
1st Floor
215 Lisson Grove
London NW8 8LF

or via email FIS@westminster.gov.uk

Thank You

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