• Enrolment Form

  • Enrolment Form

    This form collects important information required for your child's start at the nursery. Before you begin, please have the following ready:

    • Contact details for 3 Emergency Contacts*
    • Your child's health visitor’s details (name and phone number)
    • The name of the GP surgery or doctor’s practice where your child is registered

    *Emergency Contacts cannot be someone with parental responsibility

  • Today's date
     - -
    2 digit day, 2 digit month, 4 digit year
  • What is your child's DOB?*
     - -
    2 digit day, 2 digit month, 4 digit year
  • When was your child’s due date? This helps us understand if your child was born prematurely, as this can influence their developmental milestones and some of the health and safety practices we follow at the nursery*
     - -
    2 digit day, 2 digit month, 4 digit year

  • Funding

  • At some point during your child's time at the nursery, do you intend to apply for funding?*
  • To claim funding, you’ll need to provide a valid funding code. Do you already have a funding code?*

  • Parental Responsibilty

  • What does it mean to have Parental Responsibilty?

    A person with parental responsibility has the right to receive information & make decisions about their child’s health and education. A child’s birth mother has parental responsibility unless it’s removed by an adoption order or a parental order following surrogacy. Where a child’s father and mother were married to each other at the time of the child’s birth, they each have parental responsibility for the child.

    For more information click here

  • Do you have parental responsibility for the child you are filling out this form for?*
  • What is your relationship with them?*
  • Do you have a work telephone number?*
  • Does anyone else have parental responsibility for your child?*
  • What is their relationship with the child?
  • Do they have a work telephone number?*
  • Does anyone else have parental responsibility for this child?*
  • What is their relationship with the child?
  • Is this person's address the same as the first person listed with parental responsibility?*
  • Do they have a work telephone number?
  • Do more than 2 people have parental responsibility for your child?*
  • Who does your child live with?*

  • Dietary needs

  • The next question is only for allergies, intolerances, and medical dietary requirements.

    Please use this space to tell us about any allergies, intolerances, or medical conditions that prevent your child from eating certain foods, or that may cause a physical reaction.

    Information about dietary preferences (such as cultural, religious, or personal choices) will be requested in the next section

  • Does your child have any food allergies, intolerances or medical dietary requirements?*
  • Please list which food or food type should be avoided and why. Click "Add Row" to add more as required*
  • Does your child have any dietary preferences?
  • Has your child been fully weaned and introduced to common allergens in foods (e.g., milk, egg, fish etc.)?*

  • Medical

  • Does your child tolerate penicillin?*
  • Will your child be up to date with all the NHS recommended vaccinations and immunisations by time they start at the nursery?*
  • Does your child have asthma?*
  • Does your child have any identified or suspected additional needs? This may include special educational needs, speech and language difficulties, sensory needs, behavioural or emotional support needs*
  • Does your child have any other medical condition(s)?*
  • Does your child take any medication that we should be aware of, so we can provide accurate information to medical professionals in the event of an emergency?
  • If we are unable to contact you or your emergency contacts in a medical emergency, we will follow the advice of medical professionals (e.g., paramedics) to act in the best interests of your child. In these circumstances, are there any specific medical treatments or emergency interventions that you do not consent to?*

  • Emergency Contacts

  • What is an Emergency Contact?

    Emergency Contacts are individuals you authorise to act on your behalf in an emergency if you cannot be reached.

    You must ensure that anyone listed as an Emergency Contact is aware of and has agreed to take on this responsibility.

    We require at least three Emergency Contacts, and they must be over 16 years old.

    Emergency Contacts cannot be someone who has parental responsibility

  • Emergency Contacts cannot be someone who has parental responsibility.

    Please change your Emergency Contact

  • Does this person have parental responsibility?*

  • Emergency Contacts cannot be someone who has parental responsibility.

    Please change your Emergency Contact

  • Does this person have parental responsbility?

  • Emergency Contacts cannot be someone who has parental responsibility.

    Please change your Emergency Contact

  • Does this person have parental responsbility?

  • Collections

  • The nursery will only release children into the care of individuals who are known to us and have parental responsibility for the child.

    If you want someone else to collect your child

    A person with parental responsibility who is known to the nursery must provide the following:

    • Verbal and written confirmation of the collector's name
    • A photo of the person collecting
    • Confirmation of when they will collect

    The person collecting must:

    • Bring a photo ID
    • Know the collection password

    If you wish to nominate someone to collect your child regularly without needing confirmation each time, please contact us.

  • Safeguarding

  • Have there been any social workers involved with your child (in the past or present)?*
  • Should be Empty: