Pre-School Registration Form printable pdf download

Celebrating

GRANGE TINY HANDS PRE-SCHOOL

Grange

Grange Community Centre,

Tiny Hands

Middlefields, Letchworth, Herts, SG6 4NG

Pre-school

Years

Tel: 01462 627333 e-mail tiny.hands@aol.co.uk

REGISTRATION FORM

SECTION A

Childs Name: ________________________________________ Date of Birth: - ______________________

Child’s NHS number _________________________________

Number of children in family: _______ Position of this child in family: e.g. 1

, 2

, 3

______________

Child’s first language:-____________________________________ (e.g. English, French, Urdu or other).

PARENT/CARERS NAME:-

______________________________________________________________________________________

Parent/Carers home address:-

______________________________________________________________________________________

Address where child lives if different from above:-

______________________________________________________________________________________

HOME TEL No: - ___________________________ WORK TEL No: - _____________________________

EMAIL address: _________________________________________________________________________

Name and telephone number of another EMERGENCY CONTACT during Pre-school time:-

______________________________________________________________________________________

Please give NAMES of ALL persons AUTHORISED to COLLECT your child from Pre-school:-

1:-_______________________________________

2:- _________________________________________

Tel:______________________________________

Tel:________________________________________

3:- ______________________________________

4:- ________________________________________

Tel:______________________________________

Tel:________________________________________

I give permission for my child to be taken out during a pre-school session providing there is suitable

supervision.

YES (

) NO (

) Please tick one

SIGNED: - _____________________________________ (Parent/Guardian) Date: - _________________

PTO…

Pre-School Registration Form