Please
print out and complete this form, before posting to us.
Thank you.
Child's Full Name
Date of Birth
Legal Guardian
Mother's Name
Father's Name
Address
Day Time Telephone Number
Emergency Telephone Number
E-mail
Name of Family Doctor
- Telephone Number
Allergies or Special Medical Needs
Term & Date of Entry to
Red House
Sessions
Monday - 9.00
- 12.30
Tuesday - 9.00 - 12.30
Wednesday - 9.00 - 12.30
Thursday - 9.00 - 12.30
Friday - 9.00 -12.30
Primary School Child will attend
Term of Entry to Full Time School
Any Other Comments
I agree
to abide by the rules of the Red House
Nursery School as published from time to time.
I agree to photographs being taken of my child from time to time which may be published in the local press, on the Nursery web site "www.red-house-nursery-school.co.uk" or kept in the Nursery School photo albums.
I agree
to my child being taken direct to hospital or to being seen
by the nearest available doctor should an emergency arise.
Signed
Date
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this registration form by post, please enter your details
here.
