• Nursery Registration Form

    Please fill in all sections below to register a place for your child. Once this is completed, you will be emailed (usually within a week) to confirm a place has been given. The place is not guaranteed with the form alone, you must await a response from the management team. A registration fee of £75 is also payable upon the place being offered.

  • Child details

    Please fill out your child's details below:
  • Gender*

  • Parent/guardian details

    Please fill out your details below:
  • Parent responsibilities for parent/guardian 1*
  • Parent responsibilities for parent/guardian 2*

  • Ethnicity and Cultural Background

  • Other authorised/emergency contacts

    We have the safety and well-being of the children in mind at all times and we are sure that you will appreciate that persons known to you are strangers to us. We do need means of identifying those you have authorised to collect your child, can you please ensure the people you are nominating know they are on this form and have agreed to this. We as a setting and especially your child/children key person will be familiar with you but we do not always have the opportunity to meet both parents. This is also true of your nominated emergency contacts and authorised persons. We therefore request that should anyone unknown to us be collecting your child that you inform us in advance and show us a photograph if possible or a brief description to enable us to identify them when they collect your child. Please note: Authorised persons must be over 18 years of age (you can name up to four)

  • Health information

    Please fill in details with as much information as possible
  • Does your child suffer from any of the following (please tick those which apply)*
  • Has your child had all of their recommended immunisations*

  • Does your child require any long term medication? e.g. inhaler*

  • Does your child have any special dietary needs e.g. religious reasons*

  • Does your child have any special dietary needs e.g. religious reasons*

  • Does your child have any known allergies?*

  • Safeguarding Children

    Please fill out the details below detailing any involvement with a family social worker
  • Has your family ever had social work involvement?*

  • Health Visitor

    Please fill out the details below as best you can. We have a legitimate interest in requesting this data as it will assist in providing the necessary care for your child and to allow us to monitor and assess their development
  • Has your child had their 2 year progress check?*

  • Special Educational Needs & Disabilities

  • Does your child have any special needs or disabilities?*
  • Are there any professionals involved with your child*

  • Consent

    Please read the following permissions and fill in accordingly

  • Permission for the setting to act in loco parentis

    If emergency treatment is required, either whilst your child is on the premises or on an outing (for the duration of your child’s time with us) and the parents or legal guardians cannot be reached immediately, your signature in the space provided below empowers the settings management to exercise their own judgement in calling the doctor/dentist or any other medical professional indicated above or to transport the child to a hospital casualty department by ambulance. Please read and fill in the declaration below, cross out the statement/wording that does not apply, and sign and date this section.

  • I give consent on my behalf for an anaesthetic to be administered or for any other urgent medical treatment to be given.*

  • Other permissions

    Please tick below if you consent to the permission for your child. These permissions will also need to be filled out on your Famly profile (a login will be emailed to you once you are registered and you will need to set up your child's profile.)

  • Please read and tick if you consent*

  • Session times

  • Please mark required sessions below:*
    Rows
  • Required start date*
     - -
    2 digit day, 2 digit month, 4 digit year

  • Funding details

    Please ensure all information is completed (if your child is not yet born or too young to apply, please leave blank).
  • Rows
  • Please read the funding options below and note that Option 3 will be the default option for funding unless you let us know otherwise.

  • Please click here to complete the Parent Declaration Form. This form must be completed in order for us to claim funding. Failure to complete will result in full payment of fees until funding can be claimed.

  • Milk (Buttercups 0-1 only)

  • Formula milk is provided for under 1 year old. 

    Please select below which milk your child requires.

    Cows milk will be provided for all children over 1 year.

  • Parent Handbook, Terms & Conditions & Registration Fee

  • Please read the Parent Handbook below:
  • Please read the Terms & Conditions below and tick to confirm:

  • Registration Fee

    There is a registration fee of £75 due with the application. This can be paid in person, via the Famly app or bank transfer. This registration fee will cover any admin, settling in visits and a nursery rucksack (this must be used as your child's only nursery bag.

  • How did you hear about us?*
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