Register Your Child

Children’s Details

First Name *

Surname *

DOB *

Ethnicity *

First Language *

Gender *

Address *

Post Code *

Parent/Carer Details

Parent / Carer 1

Relationship to child *

Title *

First Name *

Surname *

Address(if different from child)

Mobile Telephone Number *

Work Number

Email Address *

Occupation

Work Address

Ethnicity *

First Language *

Parent / Carer 2

Relationship to child

Title

First Name

Surname

Address(if different from child)

Mobile Telephone Number

Work Number

Email Address

Occupation

Work Address

Ethnicity

First Language

Emergency Contact Details

In the event of illness or an emergency, parents/carers will always be contacted first. However if there is no answer we will contact the individuals listed below. Please provide details for all individuals who have permission form you to collect your child from nursery. Please ensure you have sought prior consent from your emergency contacts before disclosing their personal details.

Name

Relationship to child

Mobile Phone Number

Work Number

Name

Relationship to child

Mobile Phone Number

Work Number

Name

Relationship to child

Mobile Phone Number

Work Number

Name

Relationship to child

Mobile Phone Number

Work Number

Password

Please provide a password and ensure all your emergency contacts are aware of what this password is. We will ask for this password whenever anyone comes to collect your child and we will only release your child into the care of an adult (16+) who has provided the correct password.

Password *

Permissions

Do you give permission for the following;

To provide emergency treatment *

To administer sudocreme when necessary *

To administer plasters when necessary *

To apply sun cream when necessary *

To administer Calpol in accordance with our medication policy *

To take your child on short trips outside the nursery *

Medical Information

Is your child up to date with their immunisations? *

Does your child have any allergies? *

Does your child have any specific dietary requirements? *

Does your child have any specific medical needs? *

Does your child have a disability? *

If you have answered yes to the above questions, please provide further information. *

About Your Child

To help us to ensure we meet your child’s needs from the start of their time in nursery, please complete the following information.

Do you have any concerns about your child’s development in any of the following areas?

Speech and Language *

Physical development *

Eye sight or hearing *

Social development *

If you have answered yes to the above questions, please provide further information. *

Attendance Pattern

When would you like your child to start? *

Session Times

Please read our Session Times and Prices information to find out which sessions suit your childcare requirements.

Full day care sessions

Standard day session - 8.00 am—5.00 pmMondayTuesdayWednesdayThursdayFriday

Extended Daily session - 7.30 am—6.00 pmMondayTuesdayWednesdayThursdayFriday

Working Parent 30 hours FEEE sessions
(minimum 3 sessions - all year round)

Standard Daily SessionMondayTuesdayWednesdayThursdayFriday8.00 am — 5.00 pm

Extended Daily SessionMondayTuesdayWednesdayThursdayFriday7.30 am — 6.00 pm

Working Parent 15 hours FEEE sessions
(minimum of 2 sessions all year round)

Standard Daily SessionMondayTuesdayWednesdayThursdayFriday8.00 am — 5.00 pm

Extended Daily SessionMondayTuesdayWednesdayThursdayFriday7.30 am — 6.00 pm

15 hours FEEE sessions for families in receipt of certain Government Benefits
(minimum of 4 sessions term time only)

Morning 8.00 am — 11.45pmMondayTuesdayWednesdayThursdayFriday

Afternoon 1.00 pm — 4.45 pmMondayTuesdayWednesdayThursdayFriday

Communication Preferences

We use a number of apps to share information with you. Please indicate who you would like information to be sent to.

Parent mail—this app is used to keep you updated on events and share important information about nurseryParent / Carer 1Parent /Carer 2

Parent Zone — this app is used to keep you informed about your child's day at nursery and share observations with youParent / Carer 1Parent / Carer 2

Family Information

Name and DOB of siblings

Name of any other profesionals involved in your childs care

Doctors Surgery Details

Practice Address

Name of Doctor

Funding Information

Please provide the following information. This will help us set up passwords for the parenta portal and check for funding eligibility.

Parent / Carer 1

Parent / Carer 2

Surname

Parent/Carer DOB

National Insurance Number

30 Hours Funding CodeYou will need to apply for a code online at https://www.gov.uk/30-hours-free-childcare . If you have a code, please add it here.

2 Year FEEE FundingPlease provide us with your 2 year FEEE code below if you already have one.

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