Your child may start with us from the term they turn 3 years old. Eg. Start Jan 2023 with birth date 3/3/2020
Choose
Sep 2022
Jan 2023
Apr 2023
Sep 2023
Jan 2024
Apr 2024
Sep 2024
Parent/guardian 1: first name *
Your answer
Surname *
Your answer
Telephone 1 *
Your answer
Parent/guardian 2: name *
Your answer
Telephone 2 *
Your answer
3rd Emergency contact name *
Your answer
3rd Emergency contact number *
Your answer
Names of any other authorised adults you permit to collect your child, and collection password
E.g. Amanda, '123'
Your answer
Allergies, medical conditions or special needs *
Do you give permission for your child to be photographed, and for photos to be shared (without name shown) on: *
Required
Address of parent/guardian who lives with the child - Address 1 *
Your answer
Town *
Your answer
Postcode *
Your answer
Do both parents have parental responsibility for child? *
In the event of an emergency, I give permission for my child to be taken to hospital and treated accordingly. *
All vaccinations up to date? *
2nd Nursery name
Your answer
Nursery email address
Your answer
Nursery telephone number
Your answer
Do you give permission for us to share development notes on your child with your 2nd nursery?
Clear selection
Details about your child
Activities and things I enjoy at home: *
Your answer
Names and ages of any brothers and sisters?
Your answer
If English is an additional language, please give a few 'survival words' in your child's first language, for staff to learn. E.g. 'toilet', 'drink', 'help'
Your answer
Anything else you would like us to know about your child:
Your answer
Primary school start date *
Choose
Sep 23
Sep 24
Sep 25
Sep 26
Homeschooling
Enrolment fee : Please send £30 with BACS payment to: Acc No 81655868, Sort Code: 404032. (Reference your last name).
Please tick to confirm payment of the enrolment fee *
Required
A copy of your responses will be emailed to the address you provided.