Registration form

Woodford Pre-School Playgroup

(£15 non refundable registration fee)

Child's full name

Home address

Religion

Ethnicity

Date of Birth

Birth certificate no:

First language

Other languages

Parent/Carer's Name

Mobile/work number

Parent/Carer's Name

Mobile/work number

Email address

Other children in family

Age

Other children in family

Age

Other children in family

Age

Other children in family

Age

Authorised people

Mobile/work number

Emergency contact

Mobile/work number

Details of illness/allergies

Doctor details

Medication required

Yes No

Medication Details

Details of Immunisations

Immunisation

Any other matters the playgrounp stafff should be aware of?

On occasions we like to take the children out of the playgroup for activities (e.g shopping, library visits etc.) do you give permission for your children to take part in these activities?

Yes No

Do you give your permission for staff to take photographs of your child in the playgroup setting? These may be used for display purposes or on the notice board.

Yes No

Do you give permission for staff at Woodford Pre-school Playgroup to take your child, if the parent cannot be contacted, with any relevant documents from the setting, in an emergency when medical aid may be required?

Yes No

Additional information With address if different from above information

Parent or carer that child normally lives with

Person(s) having legal contact with the child (if different from above)

Person with legal responsibility for the child:

Please Note The Following:

In the event of an accident a qualified member of staff will give initial first aid. In more serious cases an ambulance will be called and you will be informed.

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All parents/ carers/ child minders are asked to do atleast one hall rota duty per half term. This benefits both parents and children. If you are unable to complete the duty a £10 charge is livied to cover extra staffing.

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Woodford Pre-School Playgroup is a charity run by a committee comprised of volunteer parents whose children attend, or have attended, the playgroup. Without this Committee the Playgroup cannot operate, so all help is appreciated – please ask a member of staff for advice on how you can get involved.

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Please return your completed form to the playgroup , we will add the £15 non-refundable registration fee onto your first invoice. This registration fee includes your accompanied settling-in visits. Thank you.

Data Protection Statement
The purpose of this form is to collect data for further processing within the Playgroup system. Your signature implies your consent for the playgroup to process the data. Some information will be entered on a computer and will form part of the playgroup database. You are entitled to a copy of this information on request.

Please could you sign if you would like to be added to our Parents Whatsapp group.

Tick here to be added to the group

Signed by

Date signed