Eastleigh Child Registration Form

Please confirm you have spoken to the nursery manager within the last 48 hours to agree the days you are selecting?*

Your Name*

First NameLast Name

Relationship to child*

Child's Name (If pregnant, enter First Name: Baby | Last name: Surname)*

First NameLast Name

Child's Date of Birth (If pregnant, enter expected due date)*

Date

Please select the days and hours you want your child to attend nursery? * Please note, earlier starts, later finishes and 9am-3pm (pre-schoolers) must be approved by the nursery manager prior to registration*

	Morning Half Day 8am-1pm	Afternoon Half Day 1pm-6pm	Full Day 8am-6pm	* Earlier Start 7am-8am	* Earlier Start 7.30am-8am)	* Later Finish 6pm-6.30pm (request only)	* Later Finish 6.30pm-7pm (request only)	*9am-3pm (Pre-school only)
Monday
Tuesday
Wednesday
Thursday
Friday

Are you registering for term-time or all-year round? Please note, term-time is for pre-school only and must be approved by the nursery manager prior to registration because we have limited availability.*

Does your child have any medical or development needs we need to know about? e.g. allergies, hearing, eyesight, speech, Child Protection Plan etc

When would you like your child to start with us?*

Date

Your Address

Street Address

CityCounty

Postcode

Your mobile number*

Your Email*

example@example.com

Do you have a sibling at our nursery?

Have you had a nursery tour?*

Registration Fee Options:

Registration Fee for families that are registering for more hours than just the Government Funded Hours

£75.00

Registration Fee for a Government Funded child i.e. 15 or 30 hoursWe ask for £25 registration deposit. This is 100% refundable when your child starts with us. It will be deducted from your first invoice.

£25.00

Registration Fee for two or more children If you are registering two or more children, you only have to pay one payment of £100.00. You will still need to complete a separate registration form for each child, but only pay once. Please note, registration forms for your children need to be submitted the same day.

£100.00

Enter coupon

Total

£0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Important Information:

When you click submit, stay on the page until the screen says 'Thank you'. You will receive an automated email straightaway with confirmation to say you have successfully registered. If you do not receive this automated email, please get in touch as your registration has not come through to us.

We will verify your registration and confirm to you in writing (via email) that your registration is accepted, at which time the Terms and Conditions that you accepted will become legally binding.

Please email marketing@firstfriendsltd.co.uk should you not receive any emails from First Friends regarding your registration.

Eastleigh Day Nursery - Child Registration Form