Goodmayes Kindergarten

Correspondence Address
69 Tomswood Road
Chigwell
Essex IG7 5QR
020 506 0098

 

Enrolment Form

 Manager:  Jean Tabersham
Telephone 07703 933009

Founded In 1975
For Children aged 2 ½  to 5 Years

www.nursery1.co.uk

Member of The Pre School Learning Alliance

Date of enrolment

 

Child’s Surname

 

Date of Birth

 

Child’s Forename

 

Parent’s forenames

 

Child's Sex   M  or  F

 

Parents Address

Telephone Home

Childminder's Name

Telephone

 

 

 

Home

 

Mobile

 

Mobile

 

 

Person to contact in Emergency

Home

 

Tel. Business

 

Mobile

Doctors Name and Address

Telephone Number

Medical:  Allergies / Dietary needs / Special education needs

Child’s Religion

Health Visitors name

Address & Tel No.

 

 

 

 

 

1st Language Spoken at Home

 

 

 

 

 

 

Other Children At Home

Names                              Sex M / F

Ages

Number of sessions Required Per Week  

 

In the event somebody other than yourself has to collect your child it is necessary for you to inform us on arrival.
Your unique password MUST be given before the child will be handed over. Your Collection Password is
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 
Please strike out which does not apply
I Do / Do Not Give consent for my child to receive emergency medical treatment in the event that I cannot be contacted.
Termination
Four weeks notice is required should a child be removed from the nursery. If it is not possible to give notice of the termination, then four weeks times the number of sessions per week becomes payable.
We often photograph children’s activities at nursery; photo’s are used to display for parents on notice boards, OFSTED inspections, and are occasionally published on our publicity material. If you do not want your child photographed place an X  here _______

PLEASE NOTE Fees paid monthly NO REDUCTION FOR ABSENCE
I have read and understood the above enrolment form_______________________________________Signature of Parent
Please inform the nursery leader of any family circumstances that may affect your child - all personal details will be treated as strictly confidential.
When you have completed and signed this form please post it with the enrolment fee to the
Correspondence Address above
or hand it in to the Nursery Manager.
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