Registration Form

Registration Form
Child's Full name

First NameLast Name
Date of birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Religion
Nationality
Language spoken
Address

House Name / Number

Street Address

TownCountry

Postcode
Home telephone
Preferred Start date for Nursery

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Preferred Branch for Nursery
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
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.
I do give my consent for the Nursery to share information on my child to the relevant body if required.
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 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.
I agree to give College Town Montessori a full terms notice (minimum 12 weeks) should I wish to leave the setting.
I have made arrangements for a £50 non-refundable registration fee to be paid to the setting.
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.
Should be Empty: