TNS Ramsbottom Registration Form

Ramsbottom Registration Form

Please complete the form below to the best of your ability with integrity. Once received by TNS administration you will be contacted to book an enrolment appointment at the setting.
Setting
Child’s full name/preferred name

First NameLast Name
Date of Birth

DayMonthYear
Date
Gender
Approximate start date
Age when expected to start
Child's Full Address

Street Address

Street Address Line 2

CityCountry / Province

Postal Code
Child Living With
Child's country of birth
Ex: United Kingdom
Family religion/culture
Ethnicity
First language, additional language
Language Spoken at Home
Is your child a resident of the UK?
If stated No / Other please specify
Any important recent or historical events in child / family life (e.g recently spent time abroad / just moved into the area)
Significant people who live with the child and outside the household (this can include siblings, co-parents, grandparents etc)
Names & ages of siblings (and schools attended) and other’s living in the child’s home address
Has your child attended a previous childcare facility?
If YES please can you advise why you are no longer in attendance with this setting and reason for leaving.
Has your child attended any local authority childcare hub centers prior or present?
If YES please give details on which hub center your child attended and under which authority e.g Bury/Rohdale.
Is your child actively mobile?
If NO please give a brief overview of your child's stage of development.
Child Identification - Please attach one form of your child's identification e.g passport, birth certificate

Cancelof

Rows	Approximate date(s) Immunisation given
8 weeks - 1st Diphtheria, Hepatitus B, whooping cough, Tetanus, Hib, Polio, Pneumoccoccal vaccine, Rotavirus, Men B
12 weeks - 2nd Diphtheria, whooping cough, Hib, Polio, Meningitis C, Rotavirus
16 weeks - 3rd Diphtheria, Tetanus, Whooping cough, Hib, Polio, Pneumococcal Vaccine, Men B
12 months - Hib, Meningitis c, Measles, Mumos, Rubella MMR, Pneumococcal Vaccine, Men B
3 ½ - 5 years - Diphtheria, Whooping cough, tetanus, polio, MMR, Flu

Rows	Agree
I agree to TNS LTD applying sun cream to my child to protect them from sun exposure during outdoor activities. The nursery will provide a suitable, child-friendly sun cream (50 SPF, hypoallergenic). If your child is allergic or have sensitivity - parent/carer will need to provide.

Rows	Agree	Disagree
I agree to TNS LTD posting photos or videos of my child on the nursery social media pages.(e.g, Instagram, Facebook, website, etc).

Parent/Guardian (1) Information of those with Legal Responsibility
Parent/Guardian 1

First NameLast Name
Date of birth

DayMonthYear
Date
Relationship to Child
ID Provided on this form
Gender
Occupation – employment – F.E. – other
Email
example@example.com
Mobile Number
Home/ Work Telephone Number
National Insurance Number (Voluntary)
Ethnicity
Religion / culture
Language spoken
The nursery school should be informed in unity of any matters that are relevant to the child’s safety, security such as court orders or situations of risk or special safety precautions that might be or needs be reporting to work in partnership to protect children accordingly.
Any court orders re child
If stated YES please give details
Is your child/has your child had or have any involvement with social care or multi agency professional? E.g medical
If stated YES please give details
Parent/Guardian 1 Address

Street Address

Street Address Line 2

CityCountry / Province

Post Code
Does the child named above live at this address/other address/ more than one address – please give details?
Parent/Guardian 1 Identification - Please attach one form of your identification e.g passport, license

Cancelof

Parent/Guardian (2) Information of those with Legal Responsibility if appropriate
Parent/Guardian 2

First NameLast Name
Date of birth

DayMonthYear
Date
Relationship to Child
ID Provided on this form
Gender
Occupation – employment – F.E. – other
Email
example@example.com
Mobile Number
Home/ Work Telephone Number
National Insurance Number (Voluntary)
Ethnicity
Religion/ culture
Language spoken
Any court orders re child
If stated YES please give details
Is your child/has your child had or have any involvement with social care or multi agency professional? E.g medical
If stated YES please give details
Parent/Guardian 2 Address

Street Address

Street Address Line 2

CityCountry / Province

Post Code
Does the child named above live at this address/other address/ more than one address – please give details?
Parent/Guardian 2 Identification - Please attach one form of your identification e.g passport, license

Cancelof

Rows	Monday	Tuesday	Wednesday	Thursday	Friday
Select your funded sessions here

Rows	Monday	Tuesday	Wednesday	Thursday	Friday
Sessions in addition to Government funded session

Rows	Saturday
8.00AM - 4.30PM

Rows	Option 1 Monthly
Taxfree Childcare
Monthly Bank Transfer
Monthly Card Machine
Monthly Cash

Rows	Option 2 Weekly
Weekly Card Machine
Weekly Cash

Emergency Contact Information
Tiddlywinks Nursery School requires ‘Emergency Contact’ for the registration process.

Please provide the correct full legal title and names, contact details and relationship to child/children in the below boxes (other than parent/guardians). This must be an adult who may collect your child in your absence or contacted in emergency. Authorised persons must be 16 years of age or over or seen as a competent person, we do not agree to minors or strangers taking children out of the nursery setting.

If emergency or contact required, parent/carers are abliged to be contacted first, with permissions to contact the other parent/carer named person above if the first contact is unavailable, in the best interest and safety of the child named above, and to secure their place in line with T&C – Parent and carers are responsible for sharing this information with the nursery setting, next parent/carer emergency contact will be contacted with this authroity.

If any parent/carer/emergency contact is under what appears to be an unsafe responsibility medium to highly under the influence of alcohol, medication, recreational illegal substances or aggressive behaviours, we may keep the child safe by calling the next emergency contact to collect the child from the nursery setting. If none collection of a child the emergency contact will be applied prior to emergency support services, therefore please keep any changes or emergency updated accordingly.

PLEASE NOTE: It is your responsibility to ensure these chosen people are happy for us to contact them and hold their details within the nursery setting. It is important you keep the nursery updated with your details by completing the 'Ammedments to Registration Form' which you can find via MySchoolApp with your signed authority.

2 Additional Emergency Contacts

Rows	Emergency Contact 1	Emergency Contact 2
Full name
Gender
Date of birth
Mobile number
Work telephone number
Relationship to child – (does the child know you personally)
Will the child recognise you and know you?
Description of emergency contacts

Upload 2 photo's of your emergency contacts - Please inform your nursery setting’s management team if you are unable to attach any photographs.

Cancelof

Security System
Tiddlywinks Nursery School operates a security system which includes a secure password that should be used by emergency contacts and persons authorised to collect your child from the setting. Ideally this should be one word and something that is easily memorable, but not too familiar where a child could hear, learn and repeat to unauthorised persons. Please choose your password carefully with caution. This password is required upon collection of your child. We may ring for clarification for security/safety reasons.
MY SECURE PASSWORD IS:

Completion of Voluntary Pre-Registration Form

Thank you for completing the form, don’t forget to press submit using the green button below.
Data Protection

The parties ackowledge that in providing the Services TNS LTD is required to process Personal Data for the purposes of the Data Protection Legisalation. The provider shall be a Data Processor and process Personal Data, the following should apply:

- Provide all reasonable assistance to the council, Government in the preparation of any Data Protection Impact Asessment and or share data if any safegaurding / child protection.

- Data to be shared to the local authority to claim your Goverment funding entitlments, other data will remain protected at all times.
Child’s Full Name

First NameLast Name
Child’s Date of Birth
Proposed Start Date
Date of Form Completion
Registration Form Completed By

First NameLast Name
Signature of completion and confirmation of accurate information provided and stored by Tiddlywinks Nursery School Ltd.
Thank you for completing the voluntary pre registration form. Once recieved by the administration team your enquiry will be reviewed in consideration to places avalible, waiting lits, suitability and arrangments with our best endevours in order to meet the needs of the each unique child. During the appointment you will need to complete a funding declaration form (if applicable), read and sign the settings terms and conditions and make payment for the retainer fee to secure your child's nursery place until the proposed start date. The retainer payment can also be paid via tiddlywinksnurseryschoolbookings.com under 'products' section or the admin team can send you the payment link bysms / alternatively you can make payment by card machine / contactless at the setting which is optional, the nursery place is not secure without this payment processed.
Should be Empty:

Rows	Yes	No
Does your child have any known medical conditions/ specific medical needs or regular/long term medication? For example: Asthma, diabetes, epilepsy, orthopedic conditions, history of serious injury inc fractures or head injury, ear/hearing, eye/vision, speech difficulties, dental/orthopedic, sleeping difficulties, bladder bowel difficulties.
Does your child have any known mild allergies? Please clearly justifybelow For example: Hay fever, eczema, skin sensitivity, 14 allergens food sensitivity, animal sensitivity. If yes please give details – (cause and reaction
Do you have any special dietary requirements/ food intolerance?
Does your child require any additional support / SEND or have any special needs or disabilities or any other financial source?
Is your child eligible and in receipt of Disability Living Allowance (DVLA)?
Please state if your baby was premature or had any previous medical history at birth

Rows	Please select	Approximate date(s)
Measles
Mumps
Chicken Pox
Whooping cough
Rheumatic fever
Other / None to record

Rows	Parent/ Guardian 1	Parent/ Guardian 2
Parent responsibility
Legal parental responsibility
Biological parent
Contact in emergency
Lives with child
Legal responsibility of childcare finances (T & C’s)

Ramsbottom Registration Form

Child Medical

Parent/Guardian (1) Information of those with Legal Responsibility

Parent/Guardian (2) Information of those with Legal Responsibility if appropriate

Parent/Guardian Responsibilities

Nursery Fees/Finances/ Funding Packages

Emergency Contact Information

Security System

Completion of Voluntary Pre-Registration Form

Rows	Monday	Tuesday	Wednesday	Thursday	Friday
1140 hours/ 30 hours 7.30AM-6.20PM x 2 Sessions Per Week (Select 2 days)
Additional sessions of 7.30am - 6.20pm (normal day rate)
Additional sessions of 8.15am - 5.30pm (normal day rate)