Wee Wheels Registration Form

Wee Wheels Preschool Registration

FitMoms and Kids
Information of Child
Name

First NameLast Name
Birth Date*

DayMonthYear
Date
Address*

Street Address

Street Address Line 2

CityCounty

Post Code
Gender

FemaleMale
Preferred time session

09:15 -11:10am11:30am - 1:25pm
Days of the week required

MondayTuesdayWednesdayThursdayFriday
Information of Parent
Name*

First NameLast Name
Phone number*
Relationship*
Email Address
example@example.com
Other people authorized to pick up child from school
Name

First NameLast Name
Relationship
Phone Number

Area CodePhone Number
Email Address
example@example.com
Medical Information
Doctor's Name / Medical Practice
Doctor's number
Please list any of the following: Current medications, medication allergies, food allergies, or chronic health concerns.*

Accident and Emergency Info

If there is an accident or emergency, we will try to reach you . In the event we are unable to, we need you to provide details for an emergency contact .
Emergency contacts name*

First NameLast Name
Emergency contact's phone nuber*
We have a high standard when it comes to safety protocol, but in the unlikely event of an accident, we may need to administer basic first aid. This includes, but not limited to cleaning cuts, applying dressings/plasters, use of ice packs etc.
We will always inform you of any incidents, and our staff will complete an incident form, which you will be asked to sign.
Please confirm you have read and agree with staff administering basic first need*

I have read and agree to above information
In the very unlikely event of a child needing extra medical attention at a trearment clinic or hosptial , we will endeavour to reach you first. If unsuccesful, we will reach out to your emergancy contact. If we are unable to reach either of the above, and the requured care is urgent, staff will need to take you child while we will continually attempt to make contact with you.
Please confirm you have read and agree to the above accident and emergency information*

I have read and agree to the above information

Parental Permission

Please read each question carefully to ensure there are no misunderstandings regarding consent
Off Premises Activities
We believe in offering children the ultimate learning opportunties during their time with us. During the good weather we will embark on outdoor adventures such as scavenger hunts at the park, outdoor playtime, story time at the libray etc. We require a general consent for these type of learning activites. In the event of a trip outside our local promixity, a permission slip will be provided seperately.
Do you consent to your child engaging in outdoor activities such as trips to local the local playpark or library

Yes I consentNo i do not consent
Toileting and Changing
Our staff are here to ensure your child's wellbeing is met at the highest standard. If your child is not toilet trained, we will need permission to change their nappy to ensure they are not left uncomoftable during their time here.

If your child is toilet trained, we will encourage them to use the toilet themselves. in the even of an accident, or needing assistant we will need your permission to help them, including changing them if necessary
Please acknowledge your consent to allow our staff to assist/change your child during toilet visits

I consent to staff assisting with toileting and changing if needed
Photographs
As a preschool we like to document children's learning journeys and occasionally share some photos on our website and professional social platforms. We adhere to GDPR regulations, and will never share your child's (or your) information or data without consent.
Do you agree to your child's photo being taken and used for the above use

Yes I give consentNo I do not give consent

Code of Conduct
We are very careful when we hire staff within our childcare settings. We verify references and Access NI clearance and continually engage with them to ensure they are meeting our high standards.

We will always strive to maintain a positive and respectful attitude with our parents and caregivers. A staff member may have to occasionaly mention minor incidents, To help us run smoothly we ask that parents maintain a polite and respecful attitude with all our staff.

In the event we have a ongoing concern or of greater weight, we will assign one of our safe-guarding team to discuss this with you.

If you, at any time, have a concern with a staff member, or the preschool in general we ask that you would raise this issue with our safe-guarding officer Lesley, or in the event she is unreachable, our founder and C.E.O Leanne.
Please confirm you have read and understand the above statement and agree to adhere to this.*

I agree
Please sign here to acknowledge that you have read all information on this form and have provided, to the best of your knowledge, information that is both current and accurate.*

Clear
Should be Empty:

Wee Wheels Preschool Registration

Information of Child

Information of Parent

Medical Information

Accident and Emergency Info

Parental Permission

Off Premises Activities

Toileting and Changing

Photographs

Code of Conduct