The Red House Nursery School,
The Old Vicarage,
Upton Bishop,
Ross-on-Wye,
Herefordshire,
HR9 7UL.
Tel. 01989 780254

 

Registration Form

for

Please print out and complete this form, before posting to us. Thankyou.

Child's Full Name
  
Date of Birth
  
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 - 9.30 - 12.30  
  Tuesday - 9.30 - 12.30  
  Wednesday - 9.30 - 12.30  
  Thursday - 9.30 - 12.30  
  Friday - 9.30 -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 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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