Registration

Download admission form click here

Admission Form

(Please bring your child’s Red Book & Birth Certificate to Admission)

The information requested on this form will only be used and stored in a manner that complies with the Data Protection Act 1984 and 2018 GDPR legislation and all subsequent amendments. You have a right to examine data held in your name.

Child’s name

Date Of Birth

Gender

Male

Female

Home language(s)

Ethnicity

Mother

Name

Date Of Birth

Address: if different from above

Home telephone contact

Mobile number

Work telephone contact

Parental Responsibility

Yes

Biological Father

Name

Date Of Birth

Address: if different from above

Home telephone contact

Mobile number

Work telephone contact

Parental Responsibility

Yes

Primary carer (if not mother or father)

Name

Date Of Birth

Relationship to child

Address (if different from the child’s address above)

Home telephone contact

Mobile number

Work telephone contact

Parental Responsibility

Yes

Is this child Looked After by the local authority e.g. living with Foster Carers?

Yes

If YES please give details below including the name and contact details of the child’s social worker

Is this child being cared for by another family member under a voluntary arrangement, Child Arrangement or Special Guardianship Order?

Yes

If YES please give details below

Has anyone with parental responsibility for the child ever served in HM Armed Forces as a Regular or Reservist?

Yes

If YES please give details below

You can access additional support for your child and family via the Veterans’ Gateway Tel 0808 802 1212

Other family members living at the child’s address
Brothers and sisters

Add

Name

Date Of Birth

EY setting/ school attended

Relationship to child

Other family members/ adults living at the child’s address

Add

Name

Date Of Birth

Relationship to child

Other significant adults / frequent visitors who visit the home or who are part of the family support network

Add

Name

Date Of Birth

Relationship to child

Telephone contact

People (over the age of 16) with permission to collect your child

Add

Name

Date Of Birth

Relationship to child

Telephone contact

Emergency Contacts

Add

Name

Address:

Tel:

Relationship to child

Any special circumstances or information that our setting should know about in order to help and support your child e.g. family situations, restrictions on collecting etc.

About your child

Please could you answer the questions below to give us a better understanding of your child’s needs and any additional support we can offer to you in your role as a parent

1. Do you think your child is healthy?

Yes

Not sure

Please tell us here about the things (good and bad) that you think affect your child’s health

2. Do you think your child is safe from harm?

Yes

Not sure

Please tell us here about the things (good and bad) that you think affect your child’s safety

3. Do you think that your child is learning and developing properly?

Yes

Not sure

Please tell us here about the things (good and bad) that you think affect your child’s learning and development

4. Do you think your child has positive relationships with other people?

Yes

Not sure

Please tell us here about the things (good and bad) that you think affect your child’s relationships with other people

5. Do you have the practical things you need to meet your child’s needs?

Yes

Not sure

Please tell us here about any practical things that affect your ability to care for your child. This could include things like housing, financial, debt and relationship problems, domestic abuse or worries about drugs or alcohol or mental health

What would help you to meet your child’s needs?

Registration

Registration

Admission Form

(Please bring your child’s Red Book & Birth Certificate to Admission)

Mother

Biological Father

Primary carer (if not mother or father)

Other family members living at the child’s address
Brothers and sisters

Other family members/ adults living at the child’s address

Other significant adults / frequent visitors who visit the home or who are part of the family support network

People (over the age of 16) with permission to collect your child

Emergency Contacts

Any special circumstances or information that our setting should know about in order to help and support your child e.g. family situations, restrictions on collecting etc.

About your child

About us

Contact Details

Shoot a Message

Registration

Registration

Admission Form

(Please bring your child’s Red Book & Birth Certificate to Admission)

Mother

Biological Father

Primary carer (if not mother or father)

Other family members living at the child’s address Brothers and sisters

Other family members/ adults living at the child’s address

Other significant adults / frequent visitors who visit the home or who are part of the family support network

People (over the age of 16) with permission to collect your child

Emergency Contacts

Any special circumstances or information that our setting should know about in order to help and support your child e.g. family situations, restrictions on collecting etc.

About your child

Other family members living at the child’s address
Brothers and sisters