Wootey, Alton 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, due to low demand for early starts (7am-8am) and late collection (after 6pm) we are not able to offer these yet. However, if you are interested in the 7am start and late pick up - after 6pm, let us know by ticking the relevant box. We will let you know when we have enough demand to put these sessions on for our families.*

	Morning Half Day 8am-1pm	Afternoon Half Day 1pm-6pm	Full Day 8am-6pm	Earlier Start 7am-8am (request only)	Earlier Start 7.30am-8am (request only)	Later Finish 6pm-7pm (request only)	9am-3pm (Pre-school only. Limited availability -must be approved by the manager before registering)
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 hoursThis 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 privately funded) If you are registering two or more children, you only have to pay a single payment of £100. 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.

Wootey, Alton Day Nursery - Child Registration Form