Monthly Reporting

Please complete the form below and when finished, press the green submit button.

Your Details

Your Name*

First Last

Your Home Address*

Street Address Address Line 2 City Post Code

Work Email Address*

Landline Phone Number (if available)

Mobile Phone Number*

Emergency Contact Details

Please leave the name and contact details of your emergency contacts if you wish to above.

Which Month Are You Reporting For?*

Which Year Are You Reporting For?*

Your Territory*

What Is Your Current Standard Class Fee?*

What Is Your Current Management Fee? (Standard Class Fee x 1.97)*

Your Weekly Classes

We now need to know how many eligible classes you ran during the operating period. Please tell us how many classes you ran in total during this reporting period. DO NOT include any nursery sessions in this section. DO NOT include any 'Grace Period' classes. Please contact Claire if you need any help completing this section.

Monday Classes

No. of weeks	Total no.classes run	Total MF for Mon

Tuesday Classes

No. of weeks	Total no. classes run	Total MF for Tues

Wednesday Classes

No. of weeks	Total no. classes run	Total MF for Wed

Thursday Classes

No. of weeks	Total no. classes run	Total MF for Thurs

Friday Classes

No. of weeks	Total no. classes run	Total MF for Fri

Saturday Classes

No. of weeks	Total no. classes run	Total MF for Sat

Sunday Classes

No. of weeks	Total no. classes run	Total MF for Sun

SUB TOTAL A - Please enter the total Management Fee for all of the above weekly classes.

Please indicate below the approx. percentage of available spaces you have filled for this reporting period*

Nursery and Early Years Settings

Please use this section to tell us about any sessions you ran during this reporting period in any Early Years Settings. Include ONLY those sessions where you charge for your service.

Have you ran any sessions in Early Years Settings for this reporting period?

If 'Yes', please list the names of these settings below

SUB TOTAL B - Please enter the total Management Fee owed for all of the above sessions. To calculate this, multiply the total figure charged to all settings by 10%. E.G if the total amount billed by you for this reporting period is £100 then calculate 10% of £100 (£10.00)

Total Management Fee Owed

Please Tell Us The Total Management Fee Owed For This Reporting Period. (add together SUB TOTAL A and SUB TOTAL B from above).*

Birthday Parties

If you have run any birthday parties this month, please tell us how many below.

Attendance Figures For This Reporting Period

Please tell us approx. how many children attended your classes for this reporting period.*

Weekly Classes	Early Years Sessions	Other

Just calculate as closely as you can. Include children attending for free if you have this information easily to hand.

Class Leaders

Use this section to tell us about any employees who have worked for you during this reporting period. Include everyone, even if they have only worked for you on a temporary or ad hoc basis.

Have any Class Leaders Worked For You During This Reporting Period?*

If You Have Answered 'Yes' Above, Please List Their Names Below

Public Liability Insurance

Are You Currently Covered By PLI?*

Does The Above Insurance Also Include Employers Liability Insurance?*

Please Tell Us The Name Of Your Current Insurer.*

Facebook Photo Permissions

Facebook Images - please indicate below whether Head Office has permission to use photos from your Facebook page*

Certification

Declaration*

By submitting this form, I certify that the above information is correct and complete to the best of my knowledge.