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Daddy Daycare Welcome Pack Forms
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* Indicates required question
Child's Name
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Days required
*
Please tick all days where you require care
Monday
Tuesday
Wednesday
Thursday
Friday
Holiday Club attendance only - no regular after school club
Required
Which school (including attached nurseries) does your child attend?
*
Flora Stevenson
Stockbridge
Trinity
Wardie
Victoria
Craiglockhart
My child will attend for Holiday Camp only
Other:
Date you would like care to commence?
*
MM
/
DD
/
YYYY
Which class/primary year will your child be in when care commences?
*
Please include year (e.g. P1) and teacher's name if known
Your answer
Details of first parent or guardian
Parent/Guardian name
*
Your answer
Address
*
Your answer
Home telephone number
Your answer
Work telephone number
Your answer
Mobile telephone number
*
Your answer
email address
*
Your answer
Details of second parent or guardian
Second parents/guardian name
Your answer
Address
N/A if same as first parent/guardian
Your answer
Home telephone number
Your answer
Work Telephone Number
Your answer
Mobile telephone number
Your answer
Email address
Your answer
Emergency contact details
This section is for the details of any emergency contacts which are in addition to the parent/guardian details listed above.
First emergency contact name
*
Your answer
First emergency contact telephone number
*
Your answer
Second emergency contact name
Your answer
Second emergency contact telephone number
Your answer
Doctor's surgery
Your answer
About Me
My Family
Please tell us who your child's family members are (sibling, grandparents, pets etc)
Your answer
What are your child's favourite activities?
e.g. books, lego, outdoor play. This information enable us to help your child settle in more easily
Your answer
Are there any separations or family issues which we should be aware of?
Your answer
Permissions
I consent to Daddy Daycare staff applying suncream to my child
*
Yes
No
I consent to Daddy Daycare staff administering first aid to my child
*
Yes
No
I consent to Daddy Daycare staff photographing my child and...
permission is not compulsory - select those options you are comfortable with
displaying them in the Daddy Daycare Club
displaying them on the Daddy Daycare newsletter
posting them on the Daddy Daycare Facebook page
displaying them on the Daddy Daycare website
Who may collect your child?
*
Please list names and relationship to child
Your answer
Are there any individuals who we should be aware of who may attempt to collect your child and are not permitted to do so?
Your answer
Medical Information and allergies
Does your child have any medical conditions, dietary requirements or allergies which we should be aware of?
*
If you select yes, further details will be requested on the next page
Yes
No
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