LINGFIELD NURSERY (BLACKHEATH)

REGISTRATION FORM

 

 

CHILD'S SURNAME

 

CHILD'S FIRST NAME/S

 

GENDER

 

ETHNIC ORIGIN

 

RELIGION (IF ANY)

 

FIRST LANGUAGE

 

DATE OF BIRTH

 

ADDRESS & POSTCODE

 

BOROUGH RESIDENT IN

 

HOME TEL NO

 

NAME OF FATHER

 

OCCUPATION/ADDRESS & TELEPHONE NUMBER OF PLACE OF EMPLOYMENT

 

 

 

 

MOBILE NO / E-MAIL

 

NAME OF MOTHER

 

OCCUPATION/ ADDRESS & TELEPHONE NUMBER OF PLACE OF EMPLOYMENT

 

 

 

 

MOBILE NO / E-MAIL

 

EMERGENCY CONTACT NAME

 

ADDRESS & TELEPHONE NUMBER

 

NAMES OF ANY OTHER RESPONSIBLE PERSON AUTHORISED TO COLLECT YOUR CHILD

 

 

NAMES OF ANY PERSONS WHO MUST NOT HAVE ACCESS TO YOUR CHILD...

 

 

CHILD'S G.P.                                                                         TEL NO

 

HEALTH VISITOR                                                              TEL NO

 

PLEASE LIST AND DATE ALL lMMUNISATIONS YOUR CHILD HAS HAD

 

 

 

 

 

 

PLEASE LIST INFECTIOUS DISEASES ALREADY SUFFERED

 

 

 

 

 

 

DETAILS OF ANY ILLNESSES, ALLERGIES OR SPECIAL NEEDS

 

 

 

 

 

 

PLEASE LIST ANY MEDICAL PROCEDURES PROHIBITED BY FAMILY'S RELIGION OR BELIEFS

 

SPECIAL DIETARY REQUIREMENTS*

 

 

 

 

*Due to the difficulty in isolating certain foods (i.e. nuts) from cooking ingredients, the nursery regrets that it cannot provide meals for children with special diets due to food allergies or intolerances. In these instances parents are requested to provide their own child's meals and snacks.

 

HAS YOUR CHILD ATTENDED PLAYGROUP, MOTHER & TODDLERS GROUP, ETC

 

 

 

 

AT WHAT AGE WILL YOUR CHILD LEAVE TO ATTEND SCHOOL

 

IF A SCHOOL HAS BEEN SELECTED WHICH WILL IT BE

 

 

 

DATE YOU WOULD LIKE YOUR CHILD TO COMMENCE NURSERY

 

 

 

ATTENDANCE AT NURSERY (Please specify full time, mornings, afternoons, full days etc & flexibility NB Minimum of 3 sessions)

 

TO BE SIGNED BY BOTH PARENTS OR GUARDIANS

 

WE HEREBY MAKE APPLICATION FOR THE ADMISSION OF ________________________________

INTO LINGFIELD DAY NURSERY, WE HAVE READ THE GENERAL INFORMATION / TERMS AND CONDITIONS AND AGREE TO ABIDE BY THEM.

 

 

 

WE ENCLOSE A REGISTRATION FEE OF £25.00.

 

SIGNED                                                                                                 FATHER/ GUARDIAN

 

 

SIGNED                                                                                                 MOTHER/GUARDIAN

DATE

 

 

 

 

 

WHERE DID YOU HEAR ABOUT THE NURSERY

 

 

 

 

 

PERMISSION FOR LOCAL OUTINGS

 

I AM HAPPY TO ALLOW LINGFIELD DAY NURSERY TO TAKE ________________________________

ON LOCAL OUTINGS I.E. THE LIBRARY, SHOPS OR PARK.  HOWEVER I UNDERSTAND THAT ANY OTHER TYPE OF OUTING WILL BE SPECIFICALLY CLEARED WITH ME IN ADVANCE AND MY APPROVAL WILL BE REQUESTED IN WRITING.

 

 

 

SIGNED                                                                 DATE

 

 

 

FOR OFFICE USE ONLY

……………………………………………………………………………………………………………………..

 

 

SESSIONS ALLOCATED

 

START DATE

 

LEAVING DATE

 

GENERAL INFORMATION/TERMS AND CONDITIONS

 

ATTENDANCE

The minimum attendance at the nursery is three sessions per week, i.e. a full day plus a morning or afternoon, or any three mornings or afternoons.

 

ADMISSIONS

The nursery maintains a waiting list that is operated on a "first come, first served" basis, initially allocating all full-time and full day places and then subsequently the remaining part time places.

 

NURSERY FEES

To register your child at Lingfield Nursery there is a £25 registration fee, which is non-refundable. The registration fee, together with a completed registration form, places your child's name on our waiting list, it does not however guarantee that a place will be available.

Fees are due weekly in advance and are payable on the first session of each week. However, we are happy to accept a monthly standing order if you prefer. Fees are still payable in respect of non-attendance due to illness or holidays. Although, unlike other nurseries, we do not charge for the weeks we close or Bank Holidays. Should the nursery have to close due to an emergency, fees cannot be refunded.

 

NOTICE

Four complete weeks notice of withdrawal in writing is required or fees in lieu. As much notice of family holidays would also be much appreciated

 

PERSONAL BELONGINGS

It is requested that children do not bring toys or sweets into the nursery or wear jewellery. Regrettably the nursery cannot accept responsibility for loss or damage to toys or clothing.

 

COLLECTION OF CHILDREN

Children will only be handed over to parents unless otherwise informed by parents and preferably in writing.

 

CLOTHING & EQUIPMENT

Your child should be dressed in suitable clothing to enable independent use of the toilet.  A complete change of clothing is necessary since accidents occasionally occur.

Please also provide a comb or hairbrush, outdoor shoes or boots, a toothbrush and label all outer clothing, spare shoes or boots to avoid misunderstandings.

The nursery will provide children with a shoe bag for their personal belongings.

 

ILLNESS

In order for us to protect your child and other children in the nursery, please do not send your child if he/she has been sick, had a high temperature or had diarrhoea within the last 24 hours prior to arrival at the nursery.

If a child becomes ill whilst at the nursery he/she will be isolated (but well cared for) and parents will be contacted and arrangements will have to be made to take the child home.

Children having had an illness that is either contagious or infectious will only be re-admitted to the nursery with a doctors note.

 

MEDICINES

All medicines brought into the nursery must be clearly labelled with the child's name and handed directly to a member of staff. Written permission from the child's doctor or parent stating correct dosage and times is imperative as without it we are unable to give your child their medicine. We will also require you to sign our medicine book.

Only medicines prescribed by a doctor will be allowed into the nursery. Any child on antibiotics should not attend nursery for the first 48 hours of starting the course. It is recommended that parents only bring into the nursery the days dosage of medicine to avoid the possibility of giving too much.