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Registration rents to complete all questions in full and sign Pre-School address St Andrews Annex St Andrews Close Wraysbury Staines Middlesex TW19 5DG Home Address Name of child Language used at home Male / Female Date of Birth email Home Telephone About the Child Emergency Contact Address Mobile No. Telephone No. Emergency Password Contacts Mothers Name Home Address Mobile No. Work No. Relationship to Child If someone other than the parent/guardian collects a child, from the pre-school, password verification will be required before the child is handed over. Fathers Name Home Address Mobile No. Work No. Number of Sessions Required Commencement Date Sessional Details Days Required M. T. W. Th. F. Correspondence address Daisy Rose Cottage 110 Staines Road Wraysbury Middlesex TW19 5AH 0794 4848347 gistration cannot be accepted without the registration fee accompanying this form. ease Make cheques payable to Angels Pre-School.

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Page 1: Registration Parents to complete all questions in full and sign Pre-School address St Andrews Annex St Andrews Close Wraysbury Staines Middlesex TW19 5DG

Registration

Parents to complete all questions in full and sign

Pre-School address

St Andrews AnnexSt Andrews Close

WraysburyStaines

MiddlesexTW19 5DG

Home Address

Name of child

Language used at home

Male / Female

Date of Birth

email

Home Telephone

About the Child

Emergency Contact

Address

Mobile No.

Telephone No.

Emergency Password

Contacts

Mothers Name

Home Address

Mobile No.

Work No.

Relationship to Child

If someone other than the parent/guardian collects a child, from the pre-school, password verification will be required before the child is handed over.

Fathers Name

Home Address

Mobile No.

Work No.

Number of Sessions Required Commencement Date

Sessional Details

Days Required M. T. W. Th. F.

Correspondence address

Daisy Rose Cottage110 Staines RoadWraysburyMiddlesexTW19 5AH0794 4848347

Registration cannot be accepted without the registration fee accompanying this form. Please Make cheques payable to Angels Pre-School.

Page 2: Registration Parents to complete all questions in full and sign Pre-School address St Andrews Annex St Andrews Close Wraysbury Staines Middlesex TW19 5DG

Additional Information

This sheet is to provide background information to help your child settle at Angels.

Does your child have any fears or dislikes? Does your child have a special comforter?

Does your child have any special words for such things as thirsty, hungry or wanting the toilet?

Please provide details of your child's position within the family, names and ages of any siblings anddetails of any pets?

What does your child particularly like doing? Please provide details of favourite toys?

Has your child experienced any previous child care?

Name of intended primary school ?

Is there any additional information you wish to share with us concerning your child?

Page 3: Registration Parents to complete all questions in full and sign Pre-School address St Andrews Annex St Andrews Close Wraysbury Staines Middlesex TW19 5DG

Medical ConsentAs parents/guardians we authorise Angels Pre-School staff to arrange, if necessary, for emergency admission to hospital should the parents or other parent representative be unavailable at the time. Taxi fees where applicable are to be refunded by the parent or parent representative.

I agree / disagree with the above consent. (please delete as appropriate)

Signed: Date: Name in full: .

Pre-School OutingsAs parents/guardians we consent to our child taking part in school outings providing there is adequate supervision.

I agree / disagree with the above consent. (please delete as appropriate)

Signed: Date: Name in full: .

Photographs and VideoAs parents/guardians we authorise photographs or video to be taken in connection with Angels Pre-School sessions such as outings or concerts or publicity.

I agree / disagree with the above consent. (please delete as appropriate)

Signed: Date: Name in full: .

Registration, Fees and HolidaysA fee of £25 is payable upon Registration. Please make cheques payable to Angels Pre-School. This registers your child on our waiting list and is non-refundable.

The minimum time a child can be booked into Angels Pre-School is two sessions, All fees are payable on the first day of term upon issuing of an invoice.

Angels Pre-School reserves the right to increase fees as and when necessary, but will make every effort to give at least one terms notice.

A terms notice, in writing is required for the removal of a child from Angels Pre-School; otherwise parents are liable for a terms fees in lieu of notice.

There are approximately three weeks holidays at Christmas and Easter and eight weeks in the summer. The half term breaks are normally one week. No charges will be made during these periods.

Parents are required to pay in full for any absences during term time including children’s annual holidays, inset days and staff training days. The latter will be kept in line with the local authority.

As parents /guardians we acknowledge we have read and accept the terms and conditions regarding Registration, Fees and Holidays.

Signed: Date: Name in full: .

Consent Form

Parents are requested to sign the consents below

Page 4: Registration Parents to complete all questions in full and sign Pre-School address St Andrews Annex St Andrews Close Wraysbury Staines Middlesex TW19 5DG

Full Name of child

Childs Doctors NameDoctors Address

Telephone

Medical Form

Parents to complete all questions in full and sign

Health Visitor NameClinic Address

Telephone

Please list any infections your child has had since birth.

Please list any allergies your child may suffer from.

Please provide details and dates of immunisations your child has received since birth.

Does your child have any medical conditions that you believe Angels Pre-School should be aware of, or that could affect your child's time with us.