Registration

1. About the Child Name of child Date of Birth Home Address Male / Female Home Telephone email Language used at home Contacts Mothers Name Mobile No. Home Address Work No. Fathers Name Mobile No. Home Address Work No. Emergency Contact Mobile No. Address Telephone 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. Emergency Password Pre-School address St Andrews Annex St Andrews Close Wraysbury Staines Middlesex TW19 5DG Correspondence address Daisy Rose Cottage 110 Staines Road Wraysbury Middlesex TW19 5AH 0794 4848347 Registration Parents to complete all questions in full and sign Sessional Details Number of Sessions Required Commencement Date Days Required M. T. W. Th. F. Registration cannot be accepted without the registration fee accompanying this form. Please Make cheques payable to Angels Pre-School.

2. Additional Information This sheet is to provide background information to help your child settle at Angels. Please provide details of your child's position within the family, names and ages of any siblings and details of any pets? What does your child particularly like doing? Please provide details of favourite toys? 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? 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?

3. Consent Form Parents are requested to sign the consents below Medical Consent As 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 Outings As 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 Video As 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 Holidays A 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: .

4. Medical Form Parents to complete all questions in full and sign Childs Doctors Name Doctors Address Health Visitor Name Clinic Address Telephone Telephone Please list any infections your child has had since birth. Please provide details and dates of immunisations your child has received since birth. Please list any allergies your child may suffer from. 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. Full Name of child