Summer Registration Form

Summer Registration Form

Please fill out this form to complete your enrolment process.
Child's name

First NameLast Name
Date of Birth

MonthDayYear
Date
Gender
Registration Type
IF CHOOSING NCS - PLEASE PROVIDE THE REGISTRATION CHICK NUMBER
Does your child have any medical conditions/allergies/disabilities etc? Please give details
Parent 1

FULL NAMECONTACT NUMBER
Parent 2

FULL NAMECONTACT NUMBER
Consent to be added to the parent/teacher Whatsapp Group for information and communication purposes

Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Select which weeks you wish to book:
Collection time:
Details of any other persons authorised to collect your child (include full name, relationship to child and phone number)
Consent to be photographed; these may be used on social media, whatsapp parents group and advertising purposes.
Permission for your child's clothes to be changed if required by garda vetted staff member
Permission for your child to have sun protection applied by a garda vetted staff member if required - child must have their own sun protection supplied for use
Accident/Emergency: Permission for a designated staff member to act on your behalf in case of an emergency or accident and to take such action as may be necessary for the benefit/health and wellbeing of your child.
Any other information:
Parent signature - by signing below you are agreeing to comply with all policies and procedures at Early Days Academy
Should be Empty: