NEW

ON-LINE

SUBMISSION

FORM

We have a new submission form that you can send to us by email.

Please fill in as much detail as possible for your child's record form, it is very important that we have all the relevant information on our system for future reference.

IMPORTANT NOTE:

We will only secure a placement with a submitted Child Registration form and a weeks Deposit.

(Your can contact us for details of your Deposit amount).

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Child Registration Form

Parental responsibility: (If father and mother are seperated and no longer living together)
Medical History: ( Has your child been immunised against):
Does your child have any of the following: (plesae tick where applicable)
TRANSPORTING IN A VEHICLE: PARENTAL PERMISSION FORM: I/we agree for our child to:
I/we agree for the Childminder to apply:
I/we understand that the ongoing observations will be undertaken on the above named child. to follow and assess their development, in order to support the Childminder:
I am the Parent/Guardian of the child named above and I give permission for our child to be Photograghed by the Childminders Named below, For reasons (please tick)
OTHER INFORMATION REQUIRED: Days required:
How will you be paying:
Permission to contact Health Visitor:
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Please Note: Completing the form with a valid email address only.

This is required for security purpose only and can be trace to the author.

Many thanks.

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To be completed with full details by the Parents/Guardians/Carers

Please fully complete the following forms and submit them back to us.

THE NEW CHILD RECORD FORM / REGISTRATION FORM,

PARENTAL PERMISSIONS FORM &

PARENT/GUARDIAN CONSENT OF PHOTOGRAPHS FORM

Please Note:

If you are registering 2 or more children you will need to closed this page and visit the site again to register another child.

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You can print the following documents and forward them to us by post or bring them round to secure your child's placement.

Please note:

Your Child's placement will not be held, without a deposit.