Registration – Dorchester - Sunny Days Nurseries

Child Registration Form Dorchester

Preferred start date *

A start date will be agreed with our admin team

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Child's full name *

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Known name

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Date of birth (or EDD) *

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Child's gender

Male Female

Please tick your choice

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Home Address *

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Postcode *

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Religion

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Ethnic origin

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Nationality

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Language(s) spoken

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Primary language

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Secondary language

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Any additional needs

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Does your child have any allergies?

Yes No

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If yes, please give details of causes and reactions

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Does your child have any special dietary requirements?

Yes No

If yes please give details

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If yes, please give details

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Does your child have any medical conditions?

Yes No

If yes please give details

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If yes, please give details

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Has your child been immunised?

Yes No

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Primary Carer Title

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Primary carer full name

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Primary carer Address

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Postcode *

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Mobile number *

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Home number *

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Primary Carer Email Address *

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Specifiy relationship with child

I.e. mother, father etc.

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Responsibilities

Parental responsibility Collect child from nursery/playclub Fee payer Contact in emergency

Please tick boxes as appropriate

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Work name & address

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Work tel number

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Secondary Carer Title

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Secondary carer full name

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Secondary carer address

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Postcode

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Mobile number *

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Home number *

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Secondary Carer Email Address

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Specifiy relationship with child

I.e. mother, father etc.

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Responsibilities

Parental responsibility Collect child from nursery/playclub Fee payer Contact in emergency

Please tick boxes as appropriate

Select an option

Work name & address

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Work tel number

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Other Contact 1: Title

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Other Contact 1: Full name

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Other Contact 1: Address

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Postcode

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Home number

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Mobile number

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Responsibilities

Collect child from nursery/playclub Fee payer Contact in emergency

Please tick boxes as appropriate

Select an option

Specifiy relationship with child

I.e. Aunty, Grandmother, etc.

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Other Contact 2: Title

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Other Contact 2: Full name

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Other Contact 2: Address

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Postcode

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Home number

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Mobile number

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Responsibilities

Collect child from nursery/playclub Fee payer Contact in emergency

Please tick boxes as appropriate

Select an option

Specifiy relationship with child

I.e. Aunty, Grandmother, etc.

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School address

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School Postcode

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School Tel number

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Are you or your child currently supported by social services or any other services?

Yes No

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If yes, please give details

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Is your child currently receiving support for additional learning needs?

Yes No

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If yes, please give details of learning needs and support in place

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SECURE PASSWORD

Please choose a secure password to use at drop-off/collection, and on phone calls (If required).

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Permission for media to be added to my Blossom App.

Yes No

Select an option

My child has permission to be used in group media

Yes No

Select an option

My child has permission to be shared on Sunny Days social media

Yes No

Select an option

Has permission for media to be shared on other marketing material

Yes No

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My child has permission to take a bus

Yes No

Select an option

My child has permission to go on external outings

Yes No

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My child has permission to have medicine administered

Yes No

(e.g. Calpol)

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My child has permission to consume food with nut traces

Yes No

Select an option

My child has permission to have adhesive dressings applied

Yes No

Select an option

My child has permission to have sun cream applied

Yes No

Select an option

My child has permission to have nappy cream applied

Yes No

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My child has permission to have their face painted

Yes No

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Agreement *

I/We agree to abide by this Agreement between us the Primary Carer/Other Carer/Other Person and Sunny Day Nurseries Ltd.

You need to agree with the terms to proceed

I/We agree to abide by and adhere to Terms & Conditions, and Policies & Procedures issued by Sunny Day Nurseries Limited.

You need to agree with the terms to proceed

I/We understand that Sunny Day Nurseries Terms & Conditions and Policies & Procedures are not intended to be exhaustive, if any anomaly arises then I/we fully accept and agree to any final determination/decision by a Director of Sunny Day Nurseries Ltd.

You need to agree with the terms to proceed

I/We understand that it is our responsibility to inform and update Sunny Day Nurseries Ltd in writing with any changes to our child's and to our family details which I/we provide on this Registration Form i.e. home address, emergency contacts, work etc.

You need to agree with the terms to proceed

Preferred Payment Methods *

Tax Free Childcare Employer Vouchers Blossom App Other (please specify below)

Please tick boxes as appropriate

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Details of other preferred payment method

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Early Years Funding

2 year old 3/4 year old 15 hours 3/4 year old 30 hours

Please tick boxes as appropriate

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How did you hear about us?

For monitoring purposes it would be helpful if you could tells us how you heard about us and also why you have decided to book your child with Sunny Days.

PERMANENT WEEKLY BOOKING. Choose sessions OR hours - they cannot be combined

SESSIONS

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Funded Hours Option

Single Term Stretch Term Time Only

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WEEKLY BOOKING AGREEMENT *

These are the child care sessions I would like to purchase and I agree to comply with Sunny Days Nurseries Limited terms & conditions. For more information about bookings, please read the Fees T&C's

You need to agree with the terms to proceed

Child Registration Form Dorchester

Trained Staff

Nutritious Food

Fun Activities