Registration Form

Registration Form
Family Details
Child's Full Name:
Preferred or Familiar Name:
Date of Birth:

MonthDayYear
Date
Child's Home Address:
Parent's/Carer's Names:
Parent's/Carer's Addresses if either are different to the child's:
Parents/Carer's Email Addresses:
example@example.com
Parents/Carer's NI numbers
Parent’s/Carer’s telephone numbers:
Home:
Mobile:
Work:
Parent’s/Carer’s telephone numbers:
Home:
Mobile:
Work:
Please Provide details of anyone else, other than Parent’s, who are permitted to collect your child:
Name:
Address:
Contact Number:
Name:
Address:
Contact Number:
Name:
Address:
Contact Number:

Emergency Contact Details (Other than Parents)
Emergency Contact 1
Name:
Relationship to Child:
Please note that, in the event of an emergency, we will firstly attempt to contact the Parents/Carers, whose details are provided on page 1 of this registration form.
Telephone Numbers:
Emergency Contact 2
Name:
Relationship to Child:
Telephone Numbers:
Health Information
Doctor's Name and Address:
Doctor's telephone number:
Health Visitor telephone number:
Does your child have anyspecial health requirements? (please provide details if so)
Does your child have any allergies?
Does your child have anyspecific dietary requirements? (please provide details if so)
DiptheriaHib MeningitisMeaslesMumpsPolioRubellaTenanusWhopping cough

Consent Information
Please note that we require a password. This will be used if ever anyone, with whom we are not familiar, attempts to collect your child from nursery.
Please Provide a Password:
Please specify Yes/No to the following...
Outings,Transportation, Trips, Walks to thelocalpark etc. (Please note that school pickups, drop offs, and certain day tripswillinvolvechildren being transported in staffcars.All staff are fully trained, qualified, DBScheckedand full UK drivers licences, MOTcertificatesand Business Insurance policiesfor each driver are available upon request)
Holding Personal Information (Paper and Computer Based)
Sharing Information with other professionals,e.g. health visitor, educational Psychologist or speech therapist.
Photographs to be taken of your child for our wall displays and security.
WebsiteFacebookMybabysdays
First Aid and Emergency Medical Treatment, including the administration of Calpol should your child’s temperature rise suddenly
Use of Child’s own provided suncream or a named brand provided by the nursery.
Use of plasters when needed.
Use of nappy rash cream when provided and labelled by parents. (We do not provide creams for hygiene reasons)
To receive invitations/cards from other children within the nursery

About your Child
Please write a small description of your child's personality?
Likes
Dislikes:
Fears:
Favourite song:
Favourite Food:
Does your child use a comforter i.e Teddy Bear, Blanket, Dummy?
Does your child have a nap?
Is your child currently in Nappies?
What does your child like to do i.e. play, sing, dance, paint,

Other Information
Other languages used athome:
Religion:
Ethnic Origin:
Festivals Celebrated at Home:
Details of any other settings or childcare attended:
Details of any other agencies or professionals working with your child and their role:
FlyersChildren’s Information ServiceWebsiteRecommendedSign OutsideOther
Did you look at any other nurseries?
Why did you choose us?
Important
We ask that you keep us informed of any changes to your details. Periodically, we may ask you to confirm your details for our records.

Wesley Villas Terms and Conditions
Admission:

A completed Childcare Agreement Form is required to secure your child's place.
Fees and Invoices
- Childcare accounts are payable monthly, in advance for a calendar month of childcare.
- Accounts are payable by standing order or Cash, We also accept childcare vouchers which can be arranged through your employer. We offer 15 hour funded places for all eligible children from the age of 9 months and an additional 15 hours for qualifying 3 & 4 year old children (more information will be given to you when your child becomes eligible).
- Invoices will be issued in the week preceding the start of the month and will be due for payment on the 28th of the month.
- Unless there is a prior arrangement, any parent or carer whose fees remain unpaid, without prior agreement of the Nursery Manager, risks their child’s place at the nursery being withdrawn and late payment fees of £5 per day will be incurred.
- All booked sessions must be paid for regardless of child’s attendance. No refunds are given for sessions missed due to sickness or holidays or unavoidable nursery closures inc adverse weather.
- Be aware that the number of day’s childcare provided each month may vary.
- Bank holidays and staff training days will be charged for.
- If you expect to be late collecting your child please notify the nursery as soon as possible. If notified, the additional time will be charged at the standard hourly rate. Un-notified late collection will be charged at a rate of £5 per 15 minutes to cover emergency staffing and other arrangements.
- The nursery is not responsible for collection of fees from any third parties except in the case of statutory nursery education funding allowance. The nursery will give parents and carers two months’ notice of increase of fees.
Fees

Full day Daily rate = £ 62.50per day

Half days – 8am to 1pm or 12.30pm to 5.30pm Session rate = £45 per session

Additional ½ hr - 7:30am to 8:00am = £4.00

Additional early morning 7.00am-7.30am = £4.00

Mybabysdays - Online journals

At Wesley villa kindergarten we use Mybabysdays to keep track of your child’s development, a confirmation email will be sent to the email address you have provided informing you of your login details.

All our policies and permissions forms are available on mybabysdays which will need to be read and signed prior to your child starting at Wesley villa kindergarten.

Pictures of your child will be uploaded on to mybabysdays which can be viewed by you.

Opening times

The nursery sessions run from 07:00am to 6:00pm. The nursery is open all year except for bank holidays, the Christmas period and occasional inset days.

Termination, cancellation and change of sessions

Once the £40 non refundable admin fee and a week’s deposit are paid and this registration form is returned signed your child’s place is secure. If you no longer require the place these payments are non refundable.

Four weeks’ notice is required by either party for any change of sessions or termination of agreement. If parents choose to leave prior to the end of their notice, fees are non-refundable.

The minimum period for any permanent change of sessions is one month. If the parent changes the notified start date, we reserve the right to charge from the original start date notified on the Agreement form.

The nursery reserves the right to terminate the Agreement with immediate effect in case of Non-payment of fees, or if a parent, carer or child displays abusive, threatening or otherwise Inappropriate behaviour, or for any other reasonable cause. Intimidation or abuse of our staff will not be tolerated and may result in immediate termination. In all other cases the standard notice period of one month will apply.
Insurance

The nursery has extensive insurance cover for nursery based activities and outings. Details of the insurance may be requested from the nursery manager. The Certificate is displayed in the nursery.

Personal property and belongings

The nursery cannot be held responsible for any loss or damage to any parents, carer’s or child’s property or belongings. Every reasonable effort will be made by the nursery staff to ensure that property or belongings of any parent, carer or child is not damaged. Please ensure your child’s clothing is clearly labelled and we suggest that all toys, books and equipment are left at home.

Liability

The nursery accepts no liability for any losses suffered by parents arising directly or indirectly, as a result of the nursery being temporarily closed or the non-admittance of your child to the nursery for any reason. We accept no responsibility for children whilst in their parent’s care on nursery premises. We will not be liable to parents and/or children for any economic loss of any kind, for damage to the child’s or parent’s property, for any loss resulting from a claim made by any third party or for any special, indirect or consequential loss or damage of any kind.

Accidents and illness

The nursery reserves the right to administer first aid and any emergency treatment as required. Parents will be informed of all accidents and will be asked to sign an Accident record form. If emergency treatment at hospital is required the nursery will make all reasonable attempts to contact the parents but if this is not possible we are authorised to act on behalf of the parents and authorise any necessary emergency treatment. We will administer prescribed medicines only if parents have completed a Medicine Consent form.

Failure to collect a child

If a child is not collected within 30 minutes of the agreed time and we have not received a telephone call, we will contact the emergency contact numbers. During this time, we will continue to safely look after the child. We will charge £5.00 per 15 minutes for this service.
Agreement
These Terms and Conditions represent the entire agreement and understanding between the parents (including other carers) and the nursery. Any other understandings, agreements, warranties, conditions, terms and representations, whether verbal or written, expressed or implied are excluded to the fullest extent permitted by law. We reserve the right to update / amend these Terms and Conditions at anytime. One month’s notice will be given of any changes made.

I have read and understand these Terms and Conditions and agree to them
Signed (parent)
Print name:
Date:

MonthDayYear
Date
Should be Empty:

Registration Form

Family Details

Emergency Contact Details (Other than Parents)

Emergency Contact 1

Emergency Contact 2

Health Information

Consent Information

Please specify Yes/No to the following...

About your Child

Other Information

Important

Childcare Requirements

Which hours and days do you require?

Which preferred payment method do you prefer?

Wesley Villas Terms and Conditions

Agreement