Child Registration Form - Creative Explorers Day Nursery

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About Us
Parent Information
Contact Us
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Creative Explorers

Child Registration Form

All information provided in this form will be treated CONFIDENTIALLY and will only be used to form an understanding of your child's development prior to joining the nursery. It is important and that you provide as much information as possible and we advise parents to keep a copy of this contract for your records.

Child Registration Form

Please refer to our Parental Responsibility advice page at the back of this form for more information. We kindly ask parents to supply the nursery with a copy of your child's birth certificate.

Please complete N/A if not different

Emergency Contact

Please provide us with an Emergency contact name and number for somebody other than yourself with whom we can make contact should we be unable to contact you. Please note, this person will only be contacted in cases of emergency

Health and wellbeing

(if yes, please provide details - it is important that you give us as much information as possible including specific ingredients and products)

(if yes, please provide details and ask a member of staff for a medication form)

(if not, please provide details of approximate gestational period in weeks and/or any other complications during pregnancy or delivery)

39. Has there ever been any concerns raised about the following regarding your child?

Hearing Vision Speech Language Sensory Diet Sleep Behaviour No Other

41.Has there ever been any concerns raised about the following with regards to any family members

Autism or Asperger's Syndrome Anxiety Disorder Attention Deficit HyperactivityDisorder (ADHD) Dyslexia Dyscalculia Dyspraxia No Other

,if yes, please could you provide us with a copy and give date it was carried out and Health Visitor name below:

(if yes, please provide details including any contact you have with the Area SEN Coordinator or other health professionals)

English as an additional Language

Please enter N/A if this does not apply to your family

Which language does your child use to communicate with you in? (If any)

Please provide some key words in your home language that you feel your child is most familiar with

What is Hello in the languages you speak at home?

What is Goodbye in the languages you speak at home?

What is Mummy in the languages you speak at home?

What is Daddy in the languages you speak at home?

What is Yes in the languages you speak at home?

What is No in the languages you speak at home?

What is water in the languages you speak at home?

Immunisations

Please tick if your child has had the following:

61. Two-Months:

5-in-1vaccine (Diphtheria, Tetanus, Whooping Cough, HIB, Polio) - 1st dose Meningitis B (1st dose) Rotavirus (1st dose) Pneumococcal(PCV - 1st dose) None of above

62. Three Months:

5-in-1vaccine (Diphtheria, Tetanus, Whooping Cough, HIB, Polio) - 2nd dose Meningitis (1st dose) Rotavirus (2nd dose) None of above

63. Four Months:

5-in-1vaccine (Diphtheria, Tetanus, Whooping Cough, HIB, Polio) - 3rd dose Meningitis B (2nd dose) Pneumococcal(PCV -2nd dose) None of above

64. Twelve Months:

HIB (4th dose) /Meningitis C (2nddose) Booster Meningitis B (3rd dose) MMR vaccine (Measles, Mumps, Rubella - 1st dose) Pneumococcal(PCV - 3rd dose) None of above

65. Two, Three and Four Years

Children's flu vaccine (annual) None of above

66. Three Years and Four Months

MMR vaccine (Measles, Mumps, Rubella - 2nd dose) 4-in-1 vaccine (Diphtheria, Tetanus, Whooping Cough, Polio) - Preschool Booster None of above

CHILD COLLECTION

Is there anybody that you would like to grant 'collection responsibility' to? (if yes, please provide their full name, relationship to your child, contact details and a clear and current photograph of the individual(s). Please also email the photos of yourselves and anyone authorised to collect your child for our records:

Permissions

- Please refer to the nursery Policy and Procedures folder which is available to view upon request for further information regarding each section. (Please circle each response). Please note that the nursery would always seek to gain permission from parents as and when any medication is required before administering unless this is not possible and we deem this necessary.

74. Has your child previously been in any other form of childcare before joining us at Creative Explorers? - This includes Nurseries, Childminders, Nanny's etc

Yes No

75. Name of the previous childcare provider/setting

76. To allow a smooth transition we ask your permission to contact your child's previous setting. Do you give your consent for this?

Yes No

77. Please provide the contact details of your child's previous childcare setting eg. phone number or email address?

78. Emergency Treatment - In the event of an emergency, the nursery may administer emergency First Aid on your child, which could include CPR or the use of anti-choking devices. It may also be necessary to take your child to a doctor or to the hospital for treatment. Do you consent to this?(If you do not consent to this, please speak to the nursery manager so that suitable alternative arrangements can be made before your child starts at the nursery)

Yes No

79. Medications - We require authorisation to administer temperature-reducing medication or antihistamine to your child in the event that they become unwell whilst in our care. We have our own nursery supply of Calpol, Neurofen and Piriton. Alternatively, if you would prefer to supply your own supplies, please let us know. I give permission for staff to administer Calpol to my child at the recommend dose for their age should they require it

Yes No

80. I give permission for staff to administer Neurofen to my child at the recommend dose for their age should they require it

Yes No

81. I give permission for staff to administer Piriton to my child at the recommend dose for their age should they require it

Yes No

82. Nappy Creams: We require authorisation in order to apply nappy cream to your child. We do not supply Sudocrem or Vaseline, however you are welcome to supply your own for staff to apply as and when they feel it is needed. Do you give permission for staff to apply nappy cream, provided by you, to your child?

Yes No

83. Outings & Excursions: The children will be taken in small groups for daily trips to the local park. From time to time, the nursery will also organise outings to visit shops, the library and other local attractions. Appropriate staff ratios will be maintained at all times with risk assessments carried out prior to any outings in order to ensure safety. Do you give permission for staff to take your child on these outings?

Yes No

84. Sun Creams We require authorisation to apply suncream to your child. We have our own nursery supply, which is SPF 50 and safe to use on children over 6 months. Please ask a member of the team should you require more information on the product used. Alternatively, if you would prefer to supply your own suncream, please let us know.

I give permission for staff to apply the Nursery’s suncream to my child I will provide my own suncream for staff to apply on my child I do not wish any suncream to be used on my child

85. Famly - Online Learning Journal

I agree to Creative Explorers using Famly to create an online Learning Journal for my child I agree to keep my log in details secure I agree to my child’s key person working on my child’s Learning Journal in line with the Staff policy and user agreement I agree to my child being included in group News Feed on Famly available to other families of Creative Explorers only

86. Photographs - We may take photographs for a number of reasons whilst your child is with us:· We may take photographs for a number of reasons whilst your child is with us, to document what they enjoy doing, to record their learning and development progress via our online learning journal Famly; to include in parent newsletters and displays, to record special events and achievements, occasionally, we may invite a photographer or videographer to record any special events which may be used in our publicity, in our prospectus or on the website; to use on our social media sites such as Facebook, Instagram and Twitter. A learning journal called Famly will be used to reflect your child’s time at Nursery. It will include photographs of your child at play with other children, for example in a group of children wearing costumes pretending to be ‘Goldilocks and the Three Bears’ in the home corner. To comply with the General Data Protection Regulation (GDPR), we need your permission to photograph or make any recordings of your child to use for the above purposes.

I consent to photographs of my child being taken by authorised personnel representing the Nursery to be included in my child’s online learning journal, Famly. I agree to treat photographs containing images of other children, including my own child, to be for my own personal use only. This means that the information cannot be shared with others, or published in any way, without the explicit consent of the parents or carers of those children who maybe included. For example, any such photographs cannot be posted on a social networking site or displayed in a public place. I consent to photographs of my child being included, on occasion, on the nursery’s social media pages (e.g. Facebook and Instagram). Please note that the nursery will always endeavour to hide any child’s face when published on social media platforms.

TERMS AND CONDITIONS

87. Fee Payment Terms

Nursery fees are payable monthly in advance and must be paid in full by the THIRD of each month. We recommend that parents pay via standing order to ensure payments are not late. Invoices and information on how to set up a standing order will be issued to parents during the enrolment process. Extra sessions will be invoiced separately as and when required. Late payments will incur a £25 fine for each week payment is late. In addition to this we charge a £10 administration fee for any cheque or voucher received unpaid by your bank. Please note that we reserve the right to refuse admission of your child until all arrears are cleared. Failure or refusal to make payment will result in reminder letters being sent out and possible involvement of debt collection agencies and/or legal action being taken.

Fee Review

In line with our continual professional and corporate development, we advise parents that our prices are subject to annual review, which is subject to change. Parents will be notified of any changes and new invoices will be issued with as much notice as possible.