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Child Registration Form
This form is to be completed by the parent/carer together with cleared payment of the Registration Fee in order to secure a space at Stockton House School
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* Indicates required question
Email
*
Your email
Full name of child (incl. surname):
*
Your answer
Child "known as" name:
*
Please write here how you would like us to refer to your child (nickname, more familiar name, etc.)
Your answer
Child's date of birth:
*
MM
/
DD
/
YYYY
Preferred start date at Stockton House School?
*
(Subject to availability, your child can start once they turn 2 years' old)
MM
/
DD
/
YYYY
Preferred days/times (if known)?
*
Please complete this in as much detail as possible including whether you would wish to increase hours in order for us to allocate the spaces subject to availability
Your answer
Full address including postcode:
*
Your answer
Allergy / Dietary / Medical Requirements:
*
(Please note that this will have NO bearing on your child's admittance to Stockton House School. Please describe requirements in "Other")
None
Other:
Required
Parent / Carer Name and Contact Number (1):
*
Your answer
Parent / Carer Name and Contact Number (2):
*
Your answer
Has your child attended any other childcare setting?
*
(Please note that this includes childminders, nannies, grandparents or anyone else who routinely looks after your child)
Your answer
Have you had any other children attend Stockton House School?
*
(Please give names and approximate dates)
Your answer
Does your child have any additional needs or do you have any concerns regarding their development?
*
Please complete in as much detail as possible. The information provided will have NO bearing on your child's admittance to Stockton House School
Your answer
Any other information:
*
Please fill this out if you feel that there is anything else that we should know about you or your child
Your answer
Data Protection
*
The information you provide is used solely for the purpose of initial registration and/or expressed interest in the pre-school. Your details will not be used for any purpose outside the pre-school. For further information regarding our privacy notice please refer to the Policies section on our website:
https://www.stocktonhouseschool.co.uk/policies/
.
I hereby acknowledge the above
Required
Agreement to Payment Terms & Conditions:
*
Full payment terms and conditions are set out in pdf attached to the email sent with this form and are subject to change
Yes, I hereby acknowledge and agree to the payment terms and conditions of Stockton House School
Required
Name of person completing the form:
*
Your answer
Date completed:
*
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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