Name Of Child

Date of Birth

Address

Religion

Ethnic origin

Nationality

Gender MaleFemaleOthers

Language spoken at home

Where did you hear from us?

Password

30hr Code

Name (Mother / Carer)

Date of birth

National Insurance number

Address

Email Address

Mobile / Home Number

Work Number

30hr Code

Name (Father / Carer)

Date of birth

National Insurance number

Address

Email Address

Mobile / Home Number

Work Number

Other contacts who can pick your children up from nursery

Contact One in an Emergency

Name

Relationship to child

Address

Telephone Number

Contact Two in an emergency

Name

Relationship to Child

Home Address

Telephone Number

Can both parents collect the child from the nursery? YESNO

Medical Details

Does your child have any allergies?

If yes, please give details?

Does your child have any dietary requirements?

If yes please give details & care plan from your doctor / hospital.

Has your child had any of the following immunisations? Please tick and date

BCG YESNO

Date

Diphtheria YESNO

Date

HIB YESNO

Date

MMR YESNO

Date

Meningitis YESNO

Date

Poliomyelitis YESNO

Date

Tetanus YESNO

Date

Whooping Cough YESNO

Date

Name of GP

Name & address of surgery

Doctor’s Number

Health Visitor Name & Address

Health Visitor’s Number

Any other agencies involved with your child?

Parent’s Permission

Parent, Carer and Visitor Code of Conduct’. Parents are asked to sign this policy before starting and this will be kept in your child’s registration pack. YESNO

In the event of an emergency whereby your child requires medical treatment. I consent that medical treatment can be given? YESNO

In an event of an emergency. I consent that members of nursery staff may take my child to the nearest hospital? YESNO

If your child has ahigh temperature and you cannot be reached, do you consent to nursery staff giving your child some Calpol to bring their temperature down? YESNO

In case of a minor accident, fall, bump, graze. Do you give consent to nursery staff applying a plaster? YESNO

Do you want nursery staff to apply sun cream to your child during the summer months? YESNO

Do you give permission for your child to have their face painted during fun activities in the nursery? YESNO

From time to time the nursery staff take children on short outings, for example, to the library, pet shop and the park. Do you give permission for your child to go on outings with the nursery staff? YESNO

Do you allow your child to have their face painted during celebrations in the nursery? YESNO

Do you allow yourchild to have their photograph taken in the nursery?
YESNO

If your child is attending for the 15 hours funded place, do you agree to pay £10.00 per week on a Monday for healthy snacks, and a contribution to your child’s online learning journey that you can access online at home. YESNO

If your child is attending for the 30 hours funded place, do you agree to pay £20.00 per week on a Monday for dinner and healthy snacks throughout the day and a contribution to your child’s online learning journey that you can access online at home?
YESNO

We use an online system called Tapestry to record, track and share your child’s learning during their time in nursery. It will enable staff to take photographs, videos and observations of the activities your child does at nursery. You will then have access to this information (using your email address and a secure password to log in) so you can celebrate this learning at home too. Parents/carers can also add their own photos and comments to the journal. You will only have access to your child’s journal and this cannot be seen by other parents. Do you give permission for your child’s learning journey with us at Tiny Steps nursery to be added to `TAPESTRY`. YESNO

Food and drink are provided during your child’s attendance is included in the fee. However, formula milk is not included, and parents are responsible for providing this if needed. Also, if your child has any special dietary requirements then parents need to inform the nursery manager and arrange this before your child’s attendance, and a care plan will be set up.

Parents/ carers must provide nappies, nappy cream, and wipes, and sun protection cream during the hot summer months. You must also bring a spare set of clothes in case your child needs to change during the day

Sessions – please indicate your preferred sessions

Full time - 7.30am-6.00pm
MondayTuesdayWednesdayThursdayFriday

15 hours funded 8.30am-11.30am or
MondayTuesdayWednesdayThursdayFriday

15 hours funded 1.00pm-4.00pm
MondayTuesdayWednesdayThursdayFriday

30 hours funded 9.00am-3.00pm
MondayTuesdayWednesdayThursdayFriday

As part of the registration pack, we need photocopies of the following evidence:

• Your Child’s birth certificate

• Your child’s passport (If available)

We will need to see your:

• Current address identification (Example, gas or electric bill)

• Photo identification of both parents (Example, passports, driving licence, student cards)

• If your child is attending for the free 15 hours funding, please provide the golden ticket and a copy of evidence of benefits.

GDPR is a new EU regulation covering data protection and stands for General Data Protection Regulation. It came into force on 25 May 2018 and replaces our current Data Protection Act 1998 (DPA) and the Electronic Communications Regulations 2003 (PECR).

To comply with this law, information must be collected and used fairly, stored safely in a locked cabinet and not disclosed to any other person unlawfully.

Children attending for the free early education sessions:

If your child is two, three or four and attending for the free early education sessions (15 or 30 hrs per week)

• You do not pay any deposit for your child-care fees.

• If you require extra hours there will be a charge of £10.00 per hour.

• During the months December, July & August you will be required to pay full childcare costs as free entitlement is not paid by Manchester City Council during these months.

Children attending for full time / part time childcare:

You are required to pay a non-refundable administration fee of £50 to secure your child’s place.

• Fees must be paid in advance before starting nursery.

• We require four weeks’ notice to terminate your child’s place at the nursery.

• We require four weeks’ notice to change your childcare days.

• The minimum days required are 3 full days unless we can accommodate your request.

• Fees are still payable in the event of absence for example, illness or holidays, as the nursery still needs to maintain staffing levels.

• Fees will be charged for Bank Holidays and for staff training days. There will be 3 staff training days per year.

• If you do not give notice, you will still be charged the four-week notice period.

If you collect your child more than 5 minutes later then arranged, we will charge an additional £10.00. You will then be charged £5 for every five minutes thereafter. If your child is not collected by the end of our nursery day at 6 pm we must follow our policy and contact Children’s Services.

N.B Failure to make payment will result in your childcare place being withdrawn with immediate effect and the Child Tax Credit office will be notified.

I agree to abide by the terms and conditions and policies and procedures of Tiny Steps nursery. Which I have read and fully understand.

I parent / carer have agreed to give the documents mentioned above as part of my Child’s admission to nursery. The documents that I have provided are trustworthy documents and details on any documents agree honest to the best of my knowledge. I understand that giving false or outdated documents could lead to my child’s place being rebuked.

Name / Signature

Date

Print Name

Relationship to the Child