Yummy Kids Nursery Registration and Application

Yummy Kids Nursery Application Form

nursery@yummykids.co.uk - 07912620189
Child Information
Surname
Hebrew name
First name(s) as on birth certificate

First NameMiddle NameLast Name
Known as
Date of birth

MonthDayYear
Date
Hebrew date of birth
Copy of child’s birth certificate

Cancelof
Home, Medical, and Community Details
Home Address

Street Address

Street Address Line 2
CityPostal Code
Home Phone Number

Area CodePhone Number
Doctor Name

First NameLast Name
Doctor’s Address

Street Address

Street Address Line 2
CityState / ProvincePostal Code
Doctor’s Phone Number

Area CodePhone Number
Shul
Rabbi Name

First NameLast Name
Father Information
Father’s legal name

First NameMiddle NameLast Name
Father’s Hebrew name
Known as
Phone number

Area CodePhone Number
Email address
example@example.com
Date of Birth

MonthDayYear
Date
NI number
Mother Information
Mother’s legal name

First NameMiddle NameLast Name
Mother’s maiden name
Mother’s Hebrew name
Known as
Phone number

Area CodePhone Number
Email address
example@example.com
Date of Birth

MonthDayYear
Date
NI number
Emergency Contacts
Emergency Contact 1 Name

First NameLast Name
Emergency Contact 1 Phone

Area CodePhone Number
Emergency Contact 2 Name

First NameLast Name
Emergency Contact 2 Phone

Area CodePhone Number
Medical, Dietary, and Support Information
Allergies
Current Medications
Medical Conditions
Physical Activity Limitations
Special Dietary Requirements
Behavioral or Mental Health Support Needs
Declarations
Consent
I hereby give my permission to the staff of Yummy Kids Nursery to photograph my child. I understand that these photographs may be posted in Yummy Kids Nursery or on its website or social media where they may be viewed by individuals other than preschool participants. I acknowledge further that parents of other preschool learners might take pictures of their own children that might include my child. I hereby grant permission for my child to participate in all school activities which form part of the daily routine. I hereby grant permission for my child to use all of the play equipment and participate in all of the activities of the school, and to leave the school premises under the supervision of a staff member for scheduled field trips. Yummy Kids Nursery endeavor to adhere to the highest standard of care while looking after your child. However, Yummy Kids Nursery cannot be held liable for any injury or loss of any nature suffering, which occurred due to events beyond its reasonable control. Yummy Kids Nursery cannot be held liable for the actions of third parties not associated with Yummy Kids Nursery. This does not include the negligence of Yummy Kids Nursery, its agents or employees.
Parent/Legal Guardian Full Name for Rules & Regulations

First NameMiddle NameLast Name
Signature
Parent/Legal Guardian Full Name for Final Consent

First NameMiddle NameLast Name
Signature
Should be Empty:

Yummy Kids Nursery Application Form

Child Information

Home, Medical, and Community Details

Father Information

Mother Information

Emergency Contacts

Medical, Dietary, and Support Information

Declarations