Enrolment form

CHILDS DETAILS

Child's forename *

Child's surname *

Gender *

Date of Birth - Child *

Required Start Date *

Who has parental responsibility for the child?

Is there a Child Arrangement Order in place for your child? *

Yes

Date of the Child Arrangement Order:

ALLERGIES

MEDICAL (Does your child has any known medical conditions ?) *

Yes

If Yes (My child has the following medical conditions)

DIETARY (Please list any special requirements)

Please name any other agencies that are currently involved with your child or family i.e. family support worker, children’s services, speech and language therapist or physiotherapist

PRIMARY CARER

full_name *

Relationship 1 to child

Email *

Address

Postal code

Mobile

GENERAL

Have you transferred from another Happy Days Nursery? If so, please tell us which one

Please provide your child with outdoor clothing, a change of clothes and a sun hat. Copies of Nursery Policies are available in reception and on request to the Nursery Manager

The person(s) signing this form is/are liable for payment of the fees, as per our Terms & Conditions. Signing this form is deemed as your acceptance of the Terms & Conditions as detailed on the Happy Days website.

Signed *

Clear

Name . *

Date *