Enrolment Form

Contact Us

Nursery Registration Form

Please complete all details below, and notify us immediately of any changes to this information.


PLEASE NOTE INCOMPLETE FORMS WILL NOT BE ACCEPTED; ALL QUESTIONS MUST THEREFORE BE ANSWERED! 

Enrolment Form

Parents Details

In the case of divorced or separated parents, is the child's mother / father allowed access?

Yes
No

Additional contact details -  incase parents can not be contacted.

Sessions required

Monday AM
Monday PM
Tuesday AM
Tuesday PM
Wednesday AM
Wednesday PM
Thursday AM
Thursday PM
Friday AM
Friday PM

Childs health details

Diptheria
Tetanus
Polio
Whooping Cough
MMR
HIB
Yes
No
Yes
No

Please give GP details

Childs religion and ethnicity

Ethnic origin questions are not about nationality, place of birth or citizenship.  They are about colour and broad ethnic group.  This information is used for monitoring purposes only.

To avoid any misunderstandings with regards to an unexplained injury, we would ask you to make sure nursery staff are aware of any accidents or injuries, which have taken place outside of the nursery setting.


If any of the information you have given changes please notify us straight away so that our records are up to date in case of an emergency.


I HAVE READ THE POLICIES AND PROCEDURES AND AGREE TO COMPLY WITH THEM.  I UNDERSTAND THAT IF I NO LONGER NEED THE PLACE, I MUST GIVE ONE MONTHS NOTICE OR 1 MONTHS FEES IN LIEU OF NOTICE.

Please also fill in out Parental Declaration Form for Free Early Education Entitlement (FEEE) below.




Funding Form (FEEE)

Enrolment Form

Childs Details

Parents Details

In the case of divorced or separated parents, is the child's mother / father allowed access?

Yes
No

Additional contact details -  incase parents can not be contacted.

Sessions required

Monday AM
Monday PM
Tuesday AM
Tuesday PM
Wednesday AM
Wednesday PM
Thursday AM
Thursday PM
Friday AM
Friday PM

Childs health details

Diptheria
Tetanus
Polio
Whooping Cough
MMR
HIB
Yes
No
Yes
No

Please give GP details

Childs religion and ethnicity

Ethnic origin questions are not about nationality, place of birth or citizenship.  They are about colour and broad ethnic group.  This information is used for monitoring purposes only.

To avoid any misunderstandings with regards to an unexplained injury, we would ask you to make sure nursery staff are aware of any accidents or injuries, which have taken place outside of the nursery setting.


If any of the information you have given changes please notify us straight away so that our records are up to date in case of an emergency.


I HAVE READ THE POLICIES AND PROCEDURES AND AGREE TO COMPLY WITH THEM.  I UNDERSTAND THAT IF I NO LONGER NEED THE PLACE, I MUST GIVE ONE MONTHS NOTICE OR 1 MONTHS FEES IN LIEU OF NOTICE.

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