Childminding Forms

Childminding Forms

Please fill in all boxes before submitting.
Child Record form.
Childs Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of birth*

DayMonthYear
Date
Gender*

MaleFemale
Phone Number*

Area CodePhone Number
Email*
example@example.com
Person who will usually collect child*

First NameLast Name
Who else is allowed to collect child?

First NameLast Name
Name

First NameLast Name
Language spoken at home*
Childs religion/culture*
Allergies / dietary requirements*
Medical / illness*
Fully immunised

YesNo
Health Visitor name:

First NameLast Name
Phone Number

Area CodePhone Number
Doctors Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Any other information the childminder needs to know?
likes, dislikes, comforts ect
I give permission for any emergancy medical advice or treatment as concidered necessary by medical authorities present.
Signature*

Clear
Parents should notify the childminder of any changes to these details immediately. details of any accidents which occur while the child is in the care of the childminder will be recorded in the Accident, Incident and Medication folder and signed by parents/carer.
Individual Needs
Does your child have any of the following allergies?*

CeleryCereals containing glutenCrustaceansEggsFishLupinMilkMolluscsMustardNutsPeanutsSesame seedsSoyaSulphur dioxideotherNone
Any particular food likes or dislikes?
Does your child have set meal times? if so when?
Is your child still in Nappies?*

YesNo
Any particular nappy changing needs? creams ect?
Does you child use the toilet/potty?*

YesNo
If yes how do they show they need the toilet?
Can your child dress themselves? coat shoes ect*

YesNo
Does you child require a daytime sleep?*

YesNo
If yes, when and how long?
Where do they prefer to sleep?
Do they have any comforts for sleeping?
Permission Forms.
Routine outings with the childminder permission

I/we agree for the child named above to go on routine outings with the childminder named below. Routine outings will include:-

Ø Couple of mum and tots groups. (Tuesday, Wednesday, Thursday. )

Ø School run. (Monday- Friday)

Ø Trip to the park, shops , farm, garden centres and play areas, other childminders homes ect. (any day)

Observation permission

I/we understand that ongoing observations will be undertaken of the child named above, to follow and assess their development, and will be displayed in their learning journeys. These may be in the form of written statements, photographs/videos or tape recordings.

Outdoor play equipment permission

I/we agree for the child named above to use play equipment in gardens, parks or playgrounds while in the care of the childminder named below.

Transporting in a vehicle permission

I/we agree for the child named below to be transported in a vehicle with the childminder named below.

Photo permission

I/we give permission for the childminder named below, or a person nominated by the childminder, to take photos (including those taken on a mobile phone or similar device) of the above-named child for the reasons I/we have indicated below:

Ø to record the child(ren)’s daily routine

Ø to record the child(ren)’s development

Ø to share with the child’s parents

Ø the childminder’s own album

For any other reasons extra permission will be asked for.

*Any photos stored electronically will be stored securely and deleted when the above named child is no longer in the childminder’s care.

Photos of your child may appear in others learning journeys. Ie to show working together, friendships, sharing ect and group pictures.

I/we give permission for the childminder named below to print photos of the child named above using a photo centre i.e. Asda photos/free prints or similar.

Water play

I/we give permission for the child named above to take part in water play under the supervision of the childminder named below, and provide a change of clothes for your child.
Signature*

Clear
I/we give permission for the child named above to be cared for by the childminder’s emergency back-up childminder/ reasonable adult in the case of emergency, as stated in the Accident, Illness and Emergency policy.

Reasonable adult: Adam Muggeridge (Ofsted approved)

Sue Ellis ( dbs checked)

Another childminder. Parents will be contact first with childminders name.
Signature*

Clear
Signature

Clear
General Data Protection Regulations (GDPR)

In order to comply with the Data protection legislation 2018 and GDPR all childcare providers are required to obtain permission for photos and give parents the option to withdraw that permission at any time. Parents must be kept informed of how, why and where their childrens photos are used, stored and shared.

In this setting, photos are only used for learning journeys. These photos are stored electronically on Tapestry, which is safe and sucure. I use my phone to take photos, whci are deleted immediately once they have been uploaded.

I share photos of childrens daily activites and develpment with parents using the daily diary on Whatsapp and Tapestry and will contunue to do so unless parents are no longer happy for me to do so.

i am allowed to take photos of the children for their development under EYFS and for this purpose dont need parents permission unless there are muliple children in the photos and these are then put in other childrens learning journeys. I require permission from parents to both take and share group photos and this permission can be withdrawn at any time. once a childs learning journey leaves my setting i an no longer responisble for its destruction/deletion.

permission must be given by parents if i wish to retin photos for personal use or memories unless these photos contain our own children in which case permissiion is not required.

photos- I understand photos will be taken within the setting for learnng and development purposes and these photos may contain multiple children. These photos will be shared through whatsapp and Tapestry.

Medical- children emergancy medical details including photo will be carried with for medical/first aider to access.

Sharing info with other settings- we are required under the EYFS to share information with other settings and professionals about the children in our care and therefore need premisssio for this.

facebook- I have a open facebook page where i often share photos of what the children have been doing, outings, crafts ect. Childrens faces will never appear on this page, but chldrens artwork, hands, feet ect may do with parents permission.

please sign to agree to the above.
Signature

Clear
Should be Empty:

Childminding Forms

Child Record form.

Individual Needs

Permission Forms.