Little Acorns Childcare - Child Enrolment Form

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To enrol your child with us, please complete the form below with as much information as possible.
If you need any help with this form, please contact a member of staff and we will do our best to help you.

For a copy of our Privacy Statement, please contact the Nursery Manager.

Email *

Child's full legal name *

Name child should be addressed by (this will appear on name cards etc) *

Child's date of birth *

YYYY

Child's address *

Postcode *

Parent/Carer #1 full name: *

Relationship to child *

Parent/Carer #1 date of birth *

YYYY

Parent/Carer #1 National Insurance Number (for funding purposes) *

Parent/Carer #1 primary contact number *

Does this parent/carer have Parental Responsibility? *

Yes

Does this parent/carer live with the child? *

Yes

Required

Parent/Carer #2 full name

Relationship to child

Parent/Carer #2 primary contact number

Does this parent/carer have Parental Responsibility?

Yes

Clear selection

Does this parent/carer live with the child?

Yes

Emergency Contact #1 name and contact number -

This must be different to main parent/carer

Relationship to the child

Emergency Contact #2 name and contact number -

This must be different to main parent/carer

Relationship to the child

Please add any applicable funding eligibility codes below. If no codes are added you will be billed for all sessions allocated to your child. Two year olds may be eligible for funded childcare from the term AFTER they turn 2, if you are in receipt of certain benefits. 3 year olds are entitled to funding from the term AFTER they turn 3. If you are working parents, you may be entitled to up to 30 hours funding. Please check on childcarechoices.gov.uk for more information. *

Child's first language *

Any other languages spoken at home

Child's ethnicity: *

Child's religion

Please give details below of any religious or cultural celebrations that your family enjoy so that we are able to share these with your child. *

GP - Name and Surgery *

GP telephone number *

Name of Health Visitor *

Details of any other professionals involved with the child i.e. Social Worker, Paediatrician, Speech & Language Therapist *

Details of any allergies and/or special dietary needs *

Details of any serious illness or operations your child has had *

Details of any additional needs your child has *

Please use this space to inform us of any additional information that you feel we should be aware of or know about your child. for example, behaviour concerns, parent separation, new sibling. This information is confidential, however, if you would prefer to speak to the manager please let us know and an appointment will be arranged *

Collection of Children

We are unable to let anyone under the age of 16 collect your child from nursery unless there are exceptional circumstances and the nursery manager is made aware.
Many of our children are not yet able to talk, and several would go with adults they do not know. We understand that there are times when parents or adults who usually collect the child are unable to get here. As a security measure we ask that you think of a password and inform only those who you would like to collect your child of this password.
For your child's safety, we will not allow them to be collected by anyone who does not know the password.
The password will be filed and kept strictly confidential. Should you wish to change your password at any time, please contact the nursery manager.

My chosen password is: *

If there is anyone you would specifically NOT allow to pick up your child, please give details below. Please note we are unable to physically stop a person with Parental Responsibility from collecting a child unless we have be given proof of a court order. We will do all we can to prevent this from happening by attempting to contact the main carer first.

ADDITIONAL PARENTAL CONSENT

In the unlikely event of your child needing emergency medical treatment, we must have your consent. This includes, but is not limited to treatment from First Aid trained staff or outside professionals i.e. Paramedics or Ambulance crew. *

I give consent for my child to receive emergency medical treatment

I do not give consent

SUN CREAM - We are very keen to protect children from the dangers of the sun. In fine weather, please ensure your child has had sun cream applied before coming to nursery. If your child is attending a full day, please provide a bottle of sun cream and we will reapply it throughout the day. *

I give consent for sun cream to be applied as needed

I do not give consent

SOCIAL MEDIA - Occasionally, some photographs or videos might be used for marketing and advertising on our social media platforms. This may be after your child has left Little Acorns Childcare. All photographs and videos comply with the ICO under the General Data Protection Regulations.
*

I give consent

I do not give consent

OUTINGS - We occasionally like to take the children to the local park, to the post pox, on wellie walks etc as they are valuable learning experiences. Before we can take your child off Little Acorns premises, we must have your consent. When we go on outings we implement enhanced staff ratios. *

I give consent

I do not give consent

POLICIES & PROCEDURES - All our policies and procedures are reviewed and updated regularly, and are available to view by contacting our Nursery Manager. By stating your FULL NAME and TODAY'S DATE below, you agree to abide by policies and procedures set out by Little Acorns Childcare *

How did you hear about Little Acorns Childcare? *

ONLINE LEARNING JOURNAL

We use a platform called Famly to record, track and share your child's learning during their time at Little Acorns. You will be given access to log in via website or app so that you can celebrate your child's learning, development and achievements at home too. You will also be able to add photos, videos or messages for your child's key person.
You will only have access to your child's journal and this cannot be seen by other parents. However, children in the setting will sometimes be photographed with others as they work together.
For this reason, we would like permission for your child to appear in photographs within other children's learning journals. Once the journal is set up, it is crucial that you do not share any photos or videos from your child's learning journal unless it has no other children in. Please complete the following section to enable us to set up your Famly account.

Please check each box to confirm the following: *

I give permission for an online Famly account to be created and maintained for my child

I give permission for staff at Little Acorns Childcare to take photographs and videos of my child to be used in their online learning journal

I give permission for my child to appear in group photos and videos. I understand that other parents will be able see my child in group photos and videos

I agree not to share photos and videos on social media unless they are solely of my child

I agree to keep my login details safe and secure

Required

Parent / Carer #1 - please state your full name AND the email address you would like to link to Famly. If you would like another parent/carer added, please speak to the nursery manager. *

If you would like a second parent/carer added to your Famly account, please give their name, contact number and email address below

Uniform is not compulsory, however it does help to protect children's clothing as there are opportunities to explore messy play throughout each session.

If you would like to order some uniform please indicate below and you will be invoiced via Famly.

Example: 2 x 3-4 Sweatshirts, 1 x backpack

Please clearly label ALL of your child’s belongings.

We have 50+ children on our registers. We cannot remember what all of those children’s belongings look like, and it is much easier to return named items to the rightful owner when things are labelled.

Check out www.mynametags.com- this is a great company for ordering personalised labels.

Enter school ID ‘57157’ when you checkout to help raise funds for our nursery.

We have a private WhatsApp group for parents and carers. This is NOT a chat group, but is a place where we can share important news and information with you in real time. All details are held on a device with biometric security and once your child has left our setting all details will be deleted.

Please give your mobile number below and our Manager, Jo will add you. If you do not want to be added, please state below.

OFFICE USE ONLY

Birth ID seen by: Date:

Evidence: Reference Number:

Funding codes:

Send me a copy of my responses.

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