Registration form

Child’s name *

First NameLast Name

Child’s Date of Birth*

Date

Child’s age on start date*

Child's Birth Certificate or Passport number - We will need to also see the original certificate/passport once your child has been registered. *

Please upload a scan/photo of your child's Birth Certificate or Passport.

Browse Files

Parent/guardian name *

First NameLast Name

Parent Date of Brith*

Date

Parent National Insurance Number - this information is collected to share with Torbay Council for the purpose of claiming funded hours and Early Years Pupil Premium funding when your child is of an eligible age *

I understand that this information will need to be shared with Torbay Council to validate my entitlement for the additional hours under the 30 hours childcare scheme and to check eligibility for Early Years Pupil Premium funding. By ticking below I give my consent for this - without consent we will not be able to claim funded hours for your child when they become eligible.

yes consent givenno consent not given

Home Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone number *

Emergency Contact name - Must be different from above name*

First NameLast Name

Emergency Contact Phone Number - Must be different from above number *

Please specify which days and sessions you would like and we will get back to you ASAP to either confirm or offer alternatives. PLEASE NOTE OUR MINIMUM REQUIREMENT IS 3 SESSIONS AND THIS DOES NOT INCLUDE CLUBS SUCH AS BREAKFAST AND LUNCH. Sessions can be found on our website peekaboo.uk.com and in the parent information pack that was emailed to you. Please write the DAY/s and the NAME OF THE SESSION/s. For example - MONDAY EARLY BIRD, BREAKFAST CLUB AND MORNING SESSION. *

Does your child have any allergies, special educational needs or disabilities we need to be aware of. *

Is your child entitled to Early Years Entitlement funding? This could be 15 hours or 30 hours.

9 month old working parent funding2 year old working parent funding2 year old non working parent funding (applied for through Torbay Council)3&4 year old working parent funding3&4 year old universal 15 hours funding

Do you have of the following in place?

Funding Code - if you have this already, please add this below

If you ticked one of the above, please state which one is in place

Which Structure would you like to sign up for

Opt In place - Please tick below to apply for an Opt in place at Peekaboo. This will mean you are agreeing to all terms and conditions of the opt in place including the notice period and the additional services charges. If you wish to change to an Opt Out place, you will need to follow the terms and conditions to end your contract and then start a new contract with us if one is available 1Opt Out place - Please tick below to apply for an Opt Out place at Peekaboo. This will mean you are agreeing to all terms and conditions of the opt out place including the notice period. It will also mean you are aware and agree to that fact that your child will NOT receive the same services that are available with an Opt In place. If you wish to change to an Opt In place, you will need to follow the terms and conditions to end your contract and then start a new contract with us if one is available question

When would you like your child to start? We will contact you with an alternative date if we cannot start your child on the date you have chosen. *

Date

Parent signature - I understand that upon signing this I am agreeing to the terms and conditions set out below, that I have read them and that this is will act as a legally binding contract between myself and Peekaboo Childcare. I understand that I am agreeing to the notice period of 6 weeks from the start of a half term to end my contract. I agree to Peekaboo holding and using the information on this form for the purposes of funding claims in line with the Torbay Council funding agreement*

TERMS AND CONDITIONS OF CONTRACT

Nursery fees and notice period- To secure a place at nursery we require one month's fees paid in full and/or a funding form filled and signed with a valid funding code. If a funding code turns out to invalid, the fees will then be charged directly to the parent. This payment acts as a deposit and secures a child's space. If your child starts on the agreed date then the money taken will cover the first month's fees and if they do not start the payment is non refundable. If a child is taking up a place using early years entitlement funding and then does not start the nursery on the agreed date, a month's funding will be claimed as a notice period. The days and sessions added to the registration form are not changeable and will be charged for. Once the child starts, changes can be made using the below notice period process.

We require 6 weeks/half a term's written notice (minimum) from the first week of a half term in advance of leaving the nursery or if you are reducing your child’s sessions. We also reserve the right to give 6 weeks/half terms notice. Children who leave midway i.e. half way through a term will forfeit the remainder of their fees. If a child cannot attend nursery for any reason, fees still have to be paid. Sessions cannot be carried over or swapped if a child does not attend their registered days.

There are 3 training days a year when the nursery may be closed so staff training can take place. You will still be charged for these days. Please note that a part from training days, you are not charged when the nursery is closed. The Nursery is closed for school holidays which is approximately 14 weeks of the year, this includes Bank holidays. Dates of this closure will be given to parents in plenty of time. If children take holiday from nursery there is no discount or reduction in fees. We charge full rates for sickness (unless the child is hospitalised and will be at the discretion of the manager) In case of an emergency where the nursery must close due to circumstances beyond our control, for example severe weather conditions or due to being closed by a government body, no refund of fees will be paid.

Fees are paid monthly (unless agreed otherwise with the manager) on the 1st of each month in advance by bank transfer. We do not accept cards, cash or cheques. Parents will be charged a late fee of 10% per day if fees have not been received by the 5th of the month. If the nursery fees are in arrears after the 5th of the month, the child's place shall be immediately withdrawn and the nursery shall be entitled to serve formal demand for payments of such fees outstanding.

At registration, when a start date is agreed between the nursery and yourself, if for any reason your child does not start nursery on the agreed date, fees will be charged daily until your child starts.

Additional services fee - this is charged half termly to all children who attend an OPT IN place and are claiming Early Years Funding. Whilst on an Opt In contract, parents must pay this fee each half term. To change to an Opt out contract, the notice period is required to be followed and a new contract started, if a place is available, and all terms and conditions of that place adhered to.

Childcare Vouchers – If childcare vouchers are paid into the business account after the child has left, this will be forfeited and not refunded. Here at the nursery we try to minimise costs passed on to you, but unfortunately, to maintain our high standards, fees have to be reviewed periodically.

If a child is left after the session ends parent/guardian will be charged £5.00 for every 15 minutes. This is at the discretion of the Nursery Manager/ Deputy. This must be paid directly. If a parent has not made contact with the nursery by 6pm (or half an hour after the child's session has ended), Children services will be contacted.

Staff can not undertake the care of sick children as clearly laid out in the policies and procedures. (Especially those with infectious disease, diarrhoea, vomiting and high temperatures)

It is in our policy to protect children from harm and safeguard them at all times. If we suspect a child’s at risk of harm we will contact outside agencies to support and look at our cause for concern. By signing this agreement you give your consent for this.

If it is considered by the Manager that the continued presence of the child is detrimental to the Health / Safety of the child or other children / staff, then the parent or guardian may be asked to remove the child immediately, in which case the one month's notice as referred to above shall not apply. Please note, that whilst every precaution and care is taken with your child during their time at nursery, we cannot be held responsible for the arrival and departure procedure of children, especially if a different person other than the normally assigned adult brings or collects a child without written consent. The nursery cannot be held responsible for any belongings that are brought into the building and cars are parked at owner’s risk. Children’s clothes etc should be marked clearly with their name and spare clothes should not be brought into nursery in plastic bags.

Agreement -I declare that the information given on this contract is correct and complete to the best of my knowledge and belief. I have read and understood the terms of the registration form (a copy of which I have retained) and I agree to be bound by these terms. I accept that I will be personally responsible for the payment of fees. I accept that if fees are in arrears at any time while my child is registered with the nursery my child will not be accepted into the nursery. I treat these registration forms as legally binding documents

Signature