ADF02 TP Reg Contract v60 Jan 21

Registration Form and Contract
Section 1:

You and Your Child
Your Child's Name *

First Name Last Name
Child's Date Of Birth *

Day Month Year
Date
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *
Email 1 *
example@example.com
Email 2 *
example@example.com
How did you first hear about us? *
Please specify:
Please let us know the name of the person who recommended you to us.
We offer a selection of corporate discounts and review these regularly, please inform us of your employer so that we can check if you are eligible. If your employer is not currently on our list of corporate partners, please let us know as we might be able to partner with you to arrange this.
Employer 1
Employer 2
Section 2:

Your Childcare Requirements
Preferred start date *

Day Month Year
Date
Please select your childcare requirements *

Full-time (5 days a week) Monday Tuesday Wednesday Thursday Friday
Are you flexible on days? Please give details. *
Phased Return to Work:

Please contact us for further details.
Does your child have any allergies / dietary considerations / medical conditions that we need to be aware of? *

No Yes
If yes please detail below:
Confirmation *

I/we wish to book a Nursery place for the days indicated above
Agreement *

I/we agree to pay £295, comprising of a deposit of £200 and a £95 registration fee. (The deposit and registration fee are not applicable for Children only attending the Nursery for the Free Entitlement under the Early Years Funding with no additional chargeable sessions).
Please upload a screenshot / bank statement of your confirmed payment *

Cancel of
Please read the Nursery’s terms and conditions at Section 3 of this document (the ‘Terms and Conditions’), before signing below.

Your Attention Is Drawn To The Clauses Below Which Have Financial Consequences: -
- 21 – 25 Cancellation, Delay or Alteration of Your Start Date;
- 27 – 39 Fee Payments;
- 40 – 48 Fee Calculation, Discounts and Extra Sessions
- 75 - 82 Leaving the Nursery or Reducing Attendance
The Terms and Conditions form the basis of a legally binding contract between You and the Nursery for the provision of childcare services. They are intended to promote the welfare and early education of your child. To enable Us to provide and maintain the highest standards of care We require all parents/carers to be aware of, and abide by, the Terms and Conditions:
Signature - Parent / Carer 1 *

Clear
Print Name: *
Date: *

Day Month Year
Signature - Parent / Carer 2 *

Clear
Print Name: *
Date: *

Day Month Year
Signature - Nursery Manager
Helen Kinch
Date

Day Month Year
Date
Section 3:

Terms and Conditions
Should be Empty:

Registration Form and Contract

Section 1:

Section 2:

Section 3: