Playscheme/Activity Booking

If you would be interested in your child/young person attending our playschemes, please complete this form.

Your Name:
Your Email Address:
Your Address:
Your Postcode:
Your Telephone Number:
Child/Young Persons Age:
Your Child's School:
Have they attended a scheme previously?
Which playscheme would you like to attend?
Comments/Further Information:

Please note that you will be required to complete a care plan and risk assessment once you have been given a place.

We hope that as a user of our services, a user of our facilities or anyone who works with Rose Road you find that we provide high quality care and support. However if you do wish to make a complaint about our services this will be treated seriously and promptly.
The Rose Road Association

Bradbury Centre
300 Aldermoor Road
Southampton
SO16 5NA

Tel: (023) 8072 1234
Fax: (023) 8051 3473

Registered Charity Number 276172

© 2002-2017 The Rose Road Association, All Rights Reserved.