Child Registration Form
Meadowview Nursery
Child's Details
Child's Name *
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Address *
Your answer
Post Code *
Your answer
Home Telephone Number
Your answer
Email Address *
Your answer
Parent / Carer Details
Mother's/Primary Carer's Name
Your answer
Contact Phone Number *
Your answer
Father's Name
Your answer
Contact Phone Number
Your answer
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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