CHYPS Directory - Add Service

CHYPS Directory: Request Addition of Service

Service Name:*
Abbreviated Name: (If Applicable)
Address 1:*
Address 2:
Town:*
County:*
Postcode:*
Age Range Covered:*	Y N 0 - 4 years 5 - 12 years 13 + Years Families
Service Cover: (Tick Appropriate)	Y N Anchorage Park Baffins Buckland Copnor Cosham Drayton Eastney Farlington Fratton Highbury Hilsea	Y N Landport Milton North End Old Portsmouth Paulsgrove Port Solent Portsea Somerstown Southsea Stamshaw Wymering
Have all staff who come into contact with children been Police (CRB) checked?:*
Do you have a written Child Protection Policy?:*
Do you adhere to the Guidance issued by the Department of Health - What to do if you are worried a child is being abused -?:*
Service Description:*
Eligibility Requirements:
Disabled Access:*
Opening Times:*
Cost:*
Languages Offered:
Referrals Policy?:
Referrals Link: (If Applicable)
	Please type full link, including http://
Waiting List:*
Contact Name:*
Contact Number:*
Contact Email:
Website:
	Please type full link, including http://
Website Description:
Password:*
	(This password will be needed when you wish to update the service details.)