Child Registration Form
Meadowview Nursery
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Child's Details
Child's Name *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Address *
Post Code *
Home Telephone Number
Email Address *
Parent / Carer Details
Mother's/Primary Carer's Name
Contact Phone Number *
Father's Name
Contact Phone Number
Requested Booking
Requested Start Date *
MM
/
DD
/
YYYY
Sessional or Full Time care? *
If 'Sessional' then please choose requested sessions...
AM 8:00-13:00, PM 13:00-18:00
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