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Glen Urquhart Childcare Centre
Session 2009 - 2010
Registration pack
Glen Urquhart Childcare Centre
Drumnadrochit, IV63 6XA
01456 450679
This information on this form is processed electronically for administrative purposes
and is subject to the terms of the Data Protection Act 1984.
PLEASE COMPLETE IN BLOCK CAPITALS
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Forenames
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Surname
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Nationality & mother tongue language
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Date of Birth
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Sex (M/F)
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Brothers and sisters at Glen Urquhart Childcare Centre (if any)
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Name(s)
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Parents/Guardians living at child’s home address
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Relationship to child
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Eg Mother
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Eg Father
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Title
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Christian Names
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Surname
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Can be contacted in an emergency
During the day
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[ ] yes [ ] no
(please tick)
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[ ] yes [ ] no
(please tick)
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If yes, give whereabouts
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Daytime Telephone Number
Mobile
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Child’s home address
Post Code
Home Telephone Number
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E-mail address if appropriate
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Other emergency contacts
(excluding parents/guardians)
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Give names, daytime telephone numbers and relationships to child
eg neighbour, aunt
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Surname
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Can be contacted in an emergency
During the day
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[ ] yes [ ] no
(please tick)
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[ ] yes [ ] no
(please tick)
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If yes, give whereabouts
eg name of workplace
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Daytime Telephone Number
Mobile
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Medical Details
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Doctor’s name
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Telephone Number
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Address
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To enable staff to respond to a child’s needs, it is important that our medical information is kept up-to-date.
Please list below details of any medical information which you feel the Centre should know about such as asthma, allergies or sensitivities to penicillin, food, bee stings etc.
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Similarly, please list below any special dietary requirements such as diabetes.
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Additional parental contacts
*For the purposes of the Centre records, a child’s parent is defined as his/her natural parent and any other person who is his/her guardian, who has custody of or who is likely to collect your child from the Centre.
Please add below anyone who comes into this category but who is not included overleaf.
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Relationship to child
eg Mother, Father
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Title
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Initials
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Surname
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Can be contacted in an emergency during the day
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[ ] yes [ ] no
(please tick)
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[ ] yes [ ] no
(please tick)
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If yes, give whereabouts
eg name of workplace
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Daytime Telephone Number
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Address
Postcode
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Telephone Number
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If Anyone has special requirements
with regard to who collects their
child/children from the centre
Please let us know
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Nursery parents / carers only to complete
In order to assist staff settling your child as quickly as possible, please complete the following
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List any other pre-school your child attends.
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What help if any does your child require when going to the toilet?
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What help if any does your child require with outdoor clothing, shoes etc?
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Has your child any like / dislikes staff should know about
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Does your child like to be comforted? Does he / she have a comforter?
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Please note your child’s favorite toy / activity.
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Child’s place in the family
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I declare the information on this form to be correct to the best of my knowledge.
Signed ……………………………………………….. (Parent/Guardian) Date …………………………………………
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Glen Urquhart Childcare Centre
Drumnadrochit, IV63 6XA
01456 450679
Consent form
All parents and carers, Nursery and G.O.O.S.C. should complete the following consent form.
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I give permission for my child to have sunscreen applied.
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Yes / No
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I give permission for face paints to be applied
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Yes / No
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I give permission for my child to go on walks, to the shop, to the park, on outings, on summer trips etc
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Yes / No
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I give permission for photos / videos to be taken of my child.
(This includes photos used in the childrens’ scrapbooks, photos albums and photos / videos taken at concerts etc.)
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Yes / No
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I give permission for emergency medical assistance to be sought for my child.
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Yes / No
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I give permission for a member of staff to administer any medication my child might need during their time at the Centre.
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Yes / No
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I give permission for my child to be helped at the toilet/changed if needed
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Yes/No
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G.O.O.S.C.
I give permission for my child to walk to / walk from the Centre unescorted by Centre staff. By giving consent, I understand that I am responsible for my child until they reach the Centre / once they have left the Centre. In the event of an incident happening outside the Centre, I understand that I am wholly responsible.
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Yes / No / not applicable
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Signed ……………………………………………….. (Parent/Guardian)
Date …………………………………………
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We must emphasise that children become the responsibility of the Centre only when our staff have collected your child from the approved collection point. Until this time your child is the responsibility of the school or parent/carer.
The same principle applies for children who are instructed by parents to walk home from the Centre. The staff cannot accept responsibility for your child once he/she has left the premises. If you wish your child to walk home from the Centre unaccompanied, you must complete a separate consent form
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Consent form
I herby give permission for my child………………………………………
to walk home from the Centre unaccompanied.
I understand that as soon as they leave the premises the Centre is no longer responsible for them.
Signature…………………………………………………
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