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Child Registration Form Honiton

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
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?
Select an option
If yes, please give details of causes and reactions
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Does your child have any special dietary requirements?
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?
If yes please give details
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If yes, please give details
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Has your child been immunised?
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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
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
Please tick boxes as appropriate
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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
Please tick boxes as appropriate
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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
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?
Select an option
If yes, please give details
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Is your child currently receiving support for additional learning needs?
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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.
Select an option
My child has permission to be used in group media
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My child has permission to be shared on Sunny Days social media
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Has permission for media to be shared on other marketing material
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My child has permission to take a bus
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My child has permission to go on external outings
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My child has permission to have medicine administered
(e.g. Calpol)
Select an option
My child has permission to consume food with nut traces
Select an option
My child has permission to have adhesive dressings applied
Select an option
My child has permission to have sun cream applied
Select an option
My child has permission to have nappy cream applied
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My child has permission to have their face painted
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Agreement *
You need to agree with the terms to proceed
You need to agree with the terms to proceed
You need to agree with the terms to proceed
You need to agree with the terms to proceed
Preferred Payment Methods *
Please tick boxes as appropriate
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Details of other preferred payment method
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Early Years Funding
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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Monday:
Your permanent Weekly Booking will always be applied in the absence of a booking form or a blank week.
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Tuesday:
Your permanent Weekly Booking will always be applied in the absence of a booking form or a blank week.
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Wednesday:
Your permanent Weekly Booking will always be applied in the absence of a booking form or a blank week.
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Thursday:
Your permanent Weekly Booking will always be applied in the absence of a booking form or a blank week.
Select an option
Friday:
Your permanent Weekly Booking will always be applied in the absence of a booking form or a blank week.
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Funded Hours Option
Please tick boxes as appropriate
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WEEKLY BOOKING AGREEMENT *
You need to agree with the terms to proceed