Registration Form

Please fill out this form as completely as you are able. Please contact the leader as soon as any of the details change.

*Required

Child's name. *
Child's name.
Child's date of birth. *
Child's date of birth.
What days and times do you wish your child to attend? *
When do you wish your child to start at the Preschool? *
When do you wish your child to start at the Preschool?
DETAILS OF MOTHER/CARER
Name of mother/carer. *
Name of mother/carer.
Home address of mother/carer. *
Home address of mother/carer.
Place of work of mother/carer.
Place of work of mother/carer.
DETAILS OF FATHER/CARER
Name of father/carer. *
Name of father/carer.
Home address of father/carer.
Home address of father/carer.
If different to above.
If different to above.
Place of work of father/carer.
Place of work of father/carer.
PARENTAL RESPONSIBILITY & EMERGENCY CONTACTS
With whom does your child normally live? *
Who has parental responsibility for your child? *
Note: In England and Wales, if the parents of a child are married to each other at the time of the birth, or if they have jointly adopted a child, then they both have parental responsibility. Parents do not lose parental responsibility if they divorce, and this applies to both the resident and the non-resident parent. This is not automatically the case for unmarried parents. According to current law, a mother always has parental responsibility for her child. A father, however, has this responsibility only if he is married to the mother when the child is born or has acquired legal responsibility for his child through one of these three routes: ·1) by jointly registering the birth of the child with the mother, 2) by a parental responsibility agreement with the mother, 3) by a parental responsibility order, made by a court.
Who has legal contact with your child? *
Please include contact details, name, phone number and address.
NAMES OF PERSONS AUTHORISED TO COLLECT YOUR CHILD FROM PRESCHOOL
MEDICAL DETAILS
Child's doctors name. *
Child's doctors name.
Child's doctors address. *
Child's doctors address.
Including a special educational needs and/or physical disabilities statement.
CONSENTS
I consent to my child being taken on walks and outings to local places of interest by members of staff. *
This includes playing on the playing field behind the Hall, which constitutes a public place.
I give consent for Preschool to hold my child's health/medical data as supplied in this form. *
We use this information to help us manage and support your child's health and medical needs while they are with us. Data protection law gives this category of data special protection and so we need your specific consent to hold it.
If my child requires immediate medical treatment, I consent to the leader or a delegated member of staff giving consent to medical treatment on my behalf. *
In the event that your child is involved in a serious incident while at the Pre-School, the leader or a delegated member of staff will contact you immediately on the above telephone number.
I give consent for plasters and anti-bacterial wipes/cream/gel to be applied as required. *
I give consent for my child to be supervised / helped in the applying of sunscreen. *
We will only apply sunscreen supplied by you for your own child during the summer months.
PHOTOGRAPHS AND PROMOTIONAL MATERIAL
We regularly take photographs or make video recordings of the children to document the children's achievements and the Pre-school's activities. Similarly, there are occasions when the local press may visit to record particular events or we may supply photographs as part of a press release celebrating activities at Pre-school. Please provide your consent for us to take photographs or make video recordings of your child for the following purposes:
I am happy for the Preschool to take photographs of my child which may be used in Preschool promotional literature. *
Newsletters for the local Parish Magazine, Village Bulletin, prospectus and other promotional material.
I am happy for the Preschool to use images of my child on its website. *
I am happy for the Preschool to take photographs and make video recordings of my child for its own records, archives and future interest. *
Photographs of activities for the children's learning journals.
I am happy for the press to take and use images of my child, or the Preschool to supply photographs to the press. *
The Pre-school may use the following details of my child for publishing purposes: *
SHARING INFORMATION WITH OTHER EARLY YEARS SETTINGS
If your child attends another Early Years setting such as another pre-school, nursery or childminder then we are encouraged to share information on your child's learning and development with the other setting(s).
I consent to the Preschool sharing information on my child's learning and development with the above settings. *
ACCEPTANCE
I hereby consent for my child to take up a place at this Preschool, according to the terms and conditions set out in its Constitution and Policies and Procedures. I have understood the expectations and obligations relating to both myself and the Preschool, and agree to abide by them. I understand that Freshford Preschool is required to follow Bath and North East Somerset's Safeguarding Procedures. The Preschool has a duty to contact Social Services if the Preschool has concerns for a child's welfare. The Preschool will normally contact parents/carers prior to speaking to Social Services, unless it is felt that this action would significantly increase the risk to the child. I agree to the terms of the Preschool's Fees policy and understand that persistent late or non-payment of fees will jeopardise my child’s continued attendance at the Preschool. I confirm that the information given above is correct, and I agree to contact the Presschool Business Manager as soon as any of the details change.
I consent to the terms and conditions. *
I am happy for my basic contact details to be shared in a parent contact list. *
Child's name, birthday and parent contact details.