Registration Form

Child's Full name*

First NameLast Name

Date of birth*

Date

Religion*

Nationality*

Language spoken*

Address*

House Name / Number

Street Address

TownCountry

Postcode

Home telephone*

Preferred Start date for Nursery*

Date

Preferred Branch for Nursery*

Camberley TownCollege Town

Sessions available

Start Time - 7:30am, 8:00am and 9:00am
Finish Time - 4:00pm, 6:00pm and 6:30pm

Please type your daily start time and finish time below:

Start Time and Finish Time*

In this box please state the days and hours you would like. (e.g Monday 9am-4pm) We offer 7:30am, 8:am or 9am Starts and 4pm , 6pm or 6:30pm Finishes.

Mother's name*

First NameLast Name

Mobile number*

Work number

Occupation*

Email*

example@example.com

Father's name*

First NameLast Name

Mobile number*

Work number

Occupation*

Email*

example@example.com

Child's medical history

(eg. allergies, dietary requirements)

Are the child's vaccinations up to date*

YESNO

Is there any other information that you wish to share with us that could affect your child's learning and development

I do give my consent for a qualified registered First Aid staff member to provide first aid in an emergency.*

AGREE

I do give my consent for the Nursery to share information on my child to the relevant body if required.*

AGREE

As part of our working routine, we do occasionally video or take photographs of the children enjoying different activities. Our aim is to then share these with you via our online secure BabyDays system.*

I AGREE TO THIS

I have been made aware of the updated policies and procedures dated February 2019 , and understand that I can contribute to these documents if deemed necessary.*

YES

I agree to give College Town Montessori a full terms notice (minimum 12 weeks) should I wish to leave the setting.*

AGREE

I have made arrangements for a £50 non-refundable registration fee to be paid to the setting.*

YES

Emergency number 1*

Contact for an emergency and that are able to collect the child.

Emergency number 2*

Contact for an emergency and that are able to collect the child.