Forest Kindergarten
Enrolment Form
Email address *
Child’s First and last Name *
Your answer
D.O.B. *
MM
/
DD
/
YYYY
Please mark your chosen sessions
We recommend 2 sessions or more to help your child benefit the most.
Column 1
Monday 9am - 2pm
Tuesday 9am - 2pm
Wednesday 9am – 12pm
Thursday 9am – 12:30pm
Friday 9am - 2pm
Total hours *
Your answer
How many of the 15 government funded hours would you like to use with us? Please also complete funding form if applying for a funded place. *
Your answer
Start date *
Your child may start with us from the term they turn 3 years old. Eg. Start Jan 2018 with birth date 3/3/3015.
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
Your answer
Allergies, medical conditions or special needs (please write NONE if none)
Your answer
Do you give permission for your child to be photographed, and for photos to be displayed on our website and Facebook page? (Children will not be named.) *
Address of parent/guardian who lives with the child *
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? *
Details of vaccinations if not up to date
Your answer
2nd nursery name
Your answer
Nursery email address
Your answer
Do you give permission for us to share development notes on your child with your 2nd setting?
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
Primary school start date *
Your answer
Anything else you would like us to know about your child:
Your answer
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.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms