Forest School Enrolment
Child's Full Name
*
First Name
Middle Name
Last Name
Child's Preferred Name
*
First Name
Last Name
Child's Gender
Child's Ethnicity
Child's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Caregiver's Name
*
First Name
Last Name
Primary Caregiver's Phone Number
*
Please enter a valid phone number.
Type a question
Primary Caregiver's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Secondary Caregiver's Name
*
First Name
Last Name
Secondary Caregiver's Phone number
*
Please enter a valid phone number.
Secondary Caregiver's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact's Name
*
First Name
Last Name
Emergency Contact's Phone number
Please enter a valid phone number.
Emergency Contact's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Does your child have any allergies or dietary needs?
*
Medical Care: In the event of emergency, staff will take all actions necessary to safeguard your child’s wellbeing and administer treatment of any illness/injury through the necessary channels, e.g: calling an ambulance if required, this will be at the parents’ expense.
*
I agree
Permission to use Arnica/Bepanthan/Sunscreen/Zinc and Castor Oil Cream/Antiseptic/Antihistimine Cream if required Y/N
*
Yes
No
Child's Doctor (address and Phone)
*
Immunisation Status (Up to date/Not immunised)
*
Does your child take any medications or have any medical conditions? (Medications must be signed for, or staff cannot administer)
*
Please indicate days Enrolling
*
Wednesday
Friday
Term One
Term Two
Term Three
Term Four
I give permission for The Forest School to use my child's image on their facebook page and/or website.
*
Yes
No
Cultural or Religious Considerations (e.g. Languages spoken at home)
Does your child have any special learning or developmental needs
Extra contacts who are allowed to pick up your child from The Forest School
Anyone who is NOT allowed to pick up your child from The Forest School
Do you have any legal custodial arrangements in place for your child?
I agree to the terms and conditions of enrolment, and agree to pay fees in full on invoice as set out in the above policy.
*
I understand that if my child is ill or cannot attend for any reason, I still own the place I have reserved, and am liable for payment. Two weeks notice (or payment of fees) is required upon leaving The Forest School. Acceptance of enrolment of my child at this service is in no way an assurance or guarantee of continued enrolment for the time indicated or under the terms and conditions effective at the time of enrolment. Management reserves the right to terminate enrolment or vary the conditions. I have read the Fees and Policies information and agree to abide by the payment terms referred to in the document. I hereby declare all the information in this enrolment application is true and correct.
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Signature
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Submit
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