SAPLINGS REGISTRATION FORM 
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(Please answer yes, no or give details to every question)

Child's Details: Code: Mother's Details:

Surname:

 Name:

Forenames:

 Occupation/Employer:
Address: Work Phone:
Father's Details

Name:
Occupation:

Phone:
Work Phone:
Name of Employer:

DOB:

Sex: (M/F)

How would you like to be addressed in correspondence
Emergency Contacts:
(An adult who can be contacted if parent is unavailable)
Medical Information
Contact 1: Doctor's Name:
Phone: Phone:
Contact 2: Health Visitor
Phone: Phone:

Further Information:

 Vaccinations:
Whooping Cough: 1 2 3 MMR: 1 HIB: 1
Name of the School you hope your child will attend:
When do you expect him/her to start there?
Polio/Diphtheria/Tetanus: 1 2 3

 
Please list any illness your child has already suffered

 

When would you like your child to start Saplings Day Nursery?

 Does your child have any allergies/special needs? If so, please give details overleaf.

What sessions would you like

Any other relevant information
In the event of me/us being unavailable and our child requiring emergency medical treatment, I/we agree to a senior member of Saplings' Nursery staff acting in loco-parentis
I/we agree to our child being taken on pre-arranged outings.
I/we agree to homeopathic remedies being administered to our child for bumps or shock treatment
Having read and agreed to the Terms and Conditions printed overleaf, I/we hereby make an application for a place for ................................................ at Saplings Day Nursery.
The Registration Fee of £25 is enclosed

SIGNED  .................................................... (Parent/Guardian)
DATE      ...................................................

 

 

TERMS AND CONDITIONS
1. All Fees are inclusive of VAT where applicable and are subject to revision. Up-to-date rates can be obtained on application to Saplings.
2. Fees are payable in advance on the first day of each month by standing order unless otherwise agreed, and any additional fees are due for payment within 14 days of invoice. Unless one calendar month's written notice is give of any alteration or cancellation, then a cancellation/alteration fee equal to one month's fees is payable.
3. Reservations will only be accepted if accompanied by payment of a deposit which is not returnable in the case of cancellation.
4. Saplings have the right to exclude any child without giving a reason.
5. Fees are payable irrespective of a child's attendance.
6. Saplings accept no responsibility for the administration of any medication.
7. Attendees and their guardians consent to their being filmed and photographed and the subsequent use of any such images in promotional or other materials.

 

SPECIAL NEEDS REQUIREMENTS

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