Debbie's Little Angels - ON-LINE REGISTRATION
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NEW
ON-LINE
SUBMISSION
FORM

We have a new submission form that you can send to us by email.

Please fill in as much detail as possible for your child's record form, it is very important that we have all the relevant information on our system for future reference.

IMPORTANT NOTE:
We will only secure a placement with a submitted Child Registration form and a weeks Deposit.
(Your can contact us for details of your Deposit amount).

You will receive an email with your unique login, user name and password.
Where you can login through this site, on the BABY'S DAYS page.


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Child Registration Form

NEW CHILD RECORED / REGISTRATION FORM
Date when your child wil be starting:
CHILD RECORD FORM, PARENTAL PERMISSIONS FORM and PARENT/GUARDIAN CONSENT OF PHOTOGRAPHS FORM To be completed with full details by the Parents/Guardians/Carers. Please fully complete the following forms and submit them back to us.
CHILD'S NAME:
CHILD'S DATE OF BIRTH:
Address:
MOTHER'S DETAILS:
Mother's Name
Mothers Address (if different from mother's):
Mother's Email:
Mother's Mobile No:
Mother's Work Place:
Home Tel No:
Mother's Work No:
MOTHER"S Date Of Birth:
FATHER'S DETAILS:
Father's Name:
Father's Home Address:
Father's Email:
Father's Home Tel No:
Father's Place of Work:
Father's Mobile No:
Father's Date Of Birth:
Unique Password:
Parental responsibility: (If father and mother are seperated and no longer living together)
N/A
No
Yes
If Yes Please Provide Additional Information:
Doctor's Name:
Surgery Name and Address:
Surgery Tel No:
Emergency Contact's Details (Who will collect your child if we can not contact you):
Emergency Contact's Tel No:
Emergency Contact's Home Address:
Relationship to Child: (Please Specify)
Medical History: ( Has your child been immunised against):
Diphtheria:
Measles:
Polio:
Tetanus:
Hib Meningitis:
Mumps:
Rubella:
Whooping Cough:
Has your child had Chicken Pox?
Does your child have any of the following: (plesae tick where applicable)
Allergies:
Special Diet:
Health Problems:
Childhood Illnesses:
Medical Conditions:
If the answer to any of the above was yes, Please give further details:
Any other information please use this box:
PLEASE SUPPLY FULL INFORMATION OF THE FOLLOWING
Please state Religion: (please complete this area)
Language Spoken at home: (please complete this area)
Medical Notes:
Dietary Requirments:
Any other information your childminder should know about your child e.g. like, dislikes, fears, comfort items etc...
Your name for a digital signature:
PARENTAL PERMISSIONS FORM
Child's Name:
ROUTINE OUTINGS WITH THE CHILDMINDER'S
I/we agree for the abpve child to be transported in a vehical with the Childminders.
Mother's Name/ Guardian's Name:
Father's Name:
Date:
TRANSPORTING IN A VEHICLE:
PARENTAL PERMISSION FORM: I/we agree for our child to:
Go on routine outings with the Chldminders...
Be transported in a vehical with the Childminders.
Occational trips on Buses, Trains, Tracktors, etc.
I/we agree for the Childminder to apply:
Sun Protection Cream to our child.
First Aid when needed.
Nappy Changes.
I/we understand that the ongoing observations will be undertaken on the above named child. to follow and assess their development, in order to support the Childminder:
BABY'S DAY'S System
Observations for the EYFS.
PARENTAL/GUARDIAN CONSENT FOR PHOTOGRAPHS
Child's Name:
I am the Parent/Guardian of the child named above and I give permission for our child to be Photograghed by the Childminders Named below, For reasons (please tick)
Photos taken by Debbie Timothy...
Photos taken by Glenn Timothy...
The childminders own album / in house wall display
The Childminders coursework...
The CM's Website (www.debbieslittleangels.co.uk)..
Other publications, such as the local newspapers..
Other Promotional litrature e.i. Local CM's Groups
BABY'S DAY'S Online Login System...
I/we understand that there will be no payment for my child's participation.
Parent / Mother's Name:
Parent / Father's Name:
Date of digital signature:
A Copy of the Birth Certificate is required for Parental Responsibility: (parent to forward a copy to Childminder)
Please supply a Copy of Birth Certificate.
OTHER INFORMATION REQUIRED:
Days required:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Please let us know the times for each day:
How would you like your invoice Monthly or Weekly:
How will you be paying:
Cash:
Bac's:
Voucher Scheme:
Child Tax Credits:
Collage or Uni grants:
Other:
Permission to contact Health Visitor:
Health Visitor Name:
Health Visitor & Surgery Address:
Health Visitor Tel No;:
Permission to contact Health Visitor:
Yes
No
THANK YOU FOR THE INFORMATION - END -


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Please Note: Completing the form with a valid email address only.
This is required for security purpose only and can be trace to the author.
Many thanks.

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To be completed with full details by the Parents/Guardians/Carers
Please fully complete the following forms and submit them back to us.


THE NEW CHILD RECORD FORM / REGISTRATION FORM,
PARENTAL PERMISSIONS FORM &
PARENT/GUARDIAN CONSENT OF PHOTOGRAPHS FORM



Please Note:
If you are registering 2 or more children you will need to closed this page and visit the site again to register another child.




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You can print the following documents and forward them to us by post or bring them round to secure your child's placement.
Please note:
Your Child's placement will not be held, without a deposit.