On deciding that you would like your child to attend Rydale Children’s Nursery, you need to complete a Nursery registration Form.  The following needs to be completed before your child starts their sessions at the nursery:

  • Family Details
  • Emergency contact details
  • Health Information
  • Session times your child will be attending
  • Permission Details
  • Registration fee of £10
  • Ensure you have read all the nursery policies and procedures.

 

Rydale Children’s Nursery will make every effort to ensure that all parents/carers receive the information you need to support you to register your child.  We will endeavour to provide this information in a format suitable to your needs. If you have any questions or need any further information please do not hesitate to ask.

Child's Details

You are required to complete this form if you require a place for your child. Please submit this form accompanied by the Registration Fee of £10. Payments are to be paid in advance and you can do this by bank transfer or cash or childcare vouchers. Please note that this does not guarantee a place for your child and if the days you request are not available you will be placed onto our waiting list.

Parent / Care Details

Parent / Care Details

Medical / Illnesses

Medical / Illnesses

External Contacts

External Contacts

Nominations

Nominations

  • Registration Form
  • Parent / Care Details
  • Medical / Illnesses
  • External Contacts
  • Nominations

Child's Name

First Name

Last Name

Date of Birth

Religion

Nationality

First Language

Parent / Carer Details

First Name

Last Name

Home Telephone Number

Mobile Telephone Number

Home Address

Business Address

Business Telephone Number

Mobile Telephone Number

Your email address (a copy of this form will be sent to you after submission)

Medical / Illnesses

Are there any serious illness/condition? (Inhaler, etc)

If yes, please specify Symptoms / Medication / Treatment required:

Any skin allergies / conditions? i.e. eczema

If yes, please specify Symptoms / Medication / Treatment required:

Any medication allergies?

If yes, please specify

Any special education needs / disabilities? i.e. speech therapy, occupational therapy or other

Please provide details of those received:

Please provide details of those received:

Has your child had any childhood infectious disease e.g. Chicken Pox?

If yes, please specify

Specific Dietary Needs / Food or Drink Allergies

Are there any foods / drinks that your child may not have for the following reasons, i.e. religious, allergy, medical or other, e.g., vegetarian, non-dairy, diabetic

If yes, please specify

External Contacts

GP Name

GP Telephone Number

Health Visitor

Health Visitor Telephone Number

Dentist

Dentist Telephone Number

Emergency Contacts – Details of two alternative people who we may contact in an emergency should we be unable to make contact with you

Full name including title

Home/work telephone no including STD code:

Relationship to child:

Mobile no:

Emergency Contacts

In the event of an emergency and my child requiring urgent medical treatment through illness or an accident and should I not be contactable I hereby give/do not give* permission for my child to receive emergency medical assistance of any kind including operative treatment and/or administration of anaesthetic in my absence. I understand that this may include my child being transported to the hospital by ambulance with a senior member of nursery staff and that attempts will continue to be made to contact me. I give/do not give* permission for nursery staff to discuss my child’s medical history with medical staff if needed.

Face Painting

I hereby give/do not give* permission for my child to have their face painted as part of activities on fun days.

Sun Protection Cream

I hereby give/do not give* permission for my child to have sun protection cream applied.

Outings

I hereby give/do not give* permission for my child to travel on public transport (with a staff member of the nursery).

I hereby give/do not give* permission for my child to participate on short/nature walks supervised by nursery staff in the vicinity of the nursery.

Please provide details of people whom you give your consent to, to collect your child, other than yourselves along with a password that they are to use. On the days when you will not be collecting your child it is extremely important that you provide the nursery staff with the name of one of the following people who you have given permission to do so.

Full name including title:

Home telephone no:

Relationship to child:

Mobile no:

Full name including title:

Home telephone no:

Relationship to child:

Mobile no:

Password

Photos / Artwork

I hereby give/do not give* permission for my child’s photograph, as specified by the Manager, to be used / displayed within the nursery.

I hereby give/do not give* permission for my child’s artwork, as specified by the Manager, to be used/displayed within the nursery.

I hereby give/do not give* permission for my child’s photograph, as specified by the Manager, to be used/displayed for promotional material belonging to Rydale Children’s Nursery i.e. Website, Prospectus, Nursery Newsletters and other publications. This includes Facebook

Any other information you feel we should know about your child?

Parent/Carer Declaration – In registering my child at Rydale Children’s Nursery, I have read, understood and agree to abide by all the Terms & Conditions laid down by the Nursery.

Data Protection: In compliance with current UK Data Protection legislation, any information you provide to us will be kept secure and treated confidentially and will not be disclosed to any external sources without your prior consent.

Ethnicity

Please tell us your child's ethnicty

Ethnicity

Rydale Children's Nursery outside play area