TT Enrolment Form

Trinity Tots Nursery Enrolment Form
Trinity Tots Nursery, 9 Granton Road, Edinburgh, EH5 3QJ Tel: 0131 551 3020
Child's Name*
First NameLast Name
Child's Date Of Birth*
DayMonthYear
Date
Any Allergies?
Main Language/s Spoken At Home
Any religions practised at home?
Requested Admission Date*
DayMonthYear
Date
Requested Sessions*
Morning Afternoon Full Day Not Required
Monday
Tuesday
Wednesday
Thursday
Friday
First Parents Name*
First NameLast Name
Second Parents Name
First NameLast Name
First Parents Address*
Street Address
City
Postcode
Second Parents Address
Street Address
City
Postcode
First Parents Phone Number*
Second Parents Phone Number
First Parents Email*
Second Parents Email
Please provide 2 additional emergency contacts other
than the parent details provided above.
Name of Emergency Contact 1*
First NameLast Name
Name of Emergency Contact 2*
First NameLast Name
Phone Number of Emergency Contact 1*
Phone Number of Emergency Contact 2*
Please provide a password that will be used when someone else is collecting your child:*
Please list the names of the people who will normally be expected to collect your child*
Please provide details of any other professionals involved in your child's care, for example health visitors, including phone numbers where possible.
Do we have permission to contact the above professionals in order to join up your child's care?
YesNo
Where did you hear about Trinity Tots Nursery?*
Health and Medical Details
GP's Name*
First NameLast Name
Health Visitor's Name
First NameLast Name
GP's Address
Street Address
Street Address Line 2
City
Postal / Zip Code
Health Visitor's Address
Street Address
Street Address Line 2
City
Postal / Zip Code
GP's Phone Number
Area CodePhone Number
Health Visitor's Phone Number
Area CodePhone Number
GP's Email (if known)
example@example.com
Health Visitor's Email (if known)
example@example.com
Does your child have any allergies, dietary requirements or illnesses? If yes, please state what these are, and request an Allergy Form)
Does your child require any Medication? If yes, please state the name of the medication and what it is used for below and request a Medication Form
Please provide details of your child's immunisation
Received Yes/No? Date received
Measles
Mumps
Rubella
Whooping Cough
Polio
Diptheria
I/we consent to medical assistance being obtained in the event of an emergency and that my/our child should receive any necessary medical treatment by a qualified professional*
YesNo
Your child will be given the opportunity to participate in NHS Scotland's toothbrushing program, Childsmile. More information can be found at child-smile.org.uk. Do you consent to your child being part of this program?*
YesNo
Photographic Permissions
I/We give permission for my child's photograph to be used in their individual records of learning such as All About Books and Electronic Learning Journals*
YesNo
I/We give permission for my child's image to be in the background of other children's photos for use in the Learning Journals or All About Me books.*
YesNo
I/We give permission for my child's photograph to be used within the nursery for display purposes.*
YesNo
I/We give permission for our child's photos or videos to be used on the nursery's private Parent Facebook page*
YesNo
I/We give permission for our child's photo or videos to be used on the nursery website*
YesNo
I/We give permission for our child's photo to be used in promotional material for the nursery such as a nursery brochure*
YesNo
Outings Permission
I/We give permission for my/our child to be taken on local outings either by foot or by public transport with the staff from Trinity Tots Nursery. Please note that all trips are thoroughly risk assessed. Consent for trips outwith the local area will be sought on a trip by trip basis.*
YesNo
Fees Information
I/We understand that all fees must be paid in advance on the 1st of each month*
YesNo
I/We understand that fees must also be paid even when my/our child is ill or on holiday*
YesNo
I/We understand that a £50 deposit is required to confirm my/our child's place with the nursery and that this fee is non-refundable should I/we choose not to take up the offered place*
YesNo
I/We understand that should we wish to leave the nursery one months notice is required. If this notice is my/our deposit will be refunded onto our final bill.*
YesNo
Please sign below to confirm all details are correct and confirm all permissions.
Clear
Should be Empty:

	Morning	Afternoon	Full Day	Not Required
Monday
Tuesday
Wednesday
Thursday
Friday

	Received Yes/No?	Date received
Measles
Mumps
Rubella
Whooping Cough
Polio
Diptheria

Trinity Tots Nursery Enrolment Form