Please complete this registration form and submit to the nursery/preschool selected at the beginning. The registration fee (as set out below) to secure your child's space (or to go on the waiting list depending on availability) will be invoiced to you with details of how to pay and will need to be paid before a start date can be confirmed.

We will also need a copy of your child's birth certificate.

Registration fees to secure a place in the setting are as follows:

Unfunded session (£40.00 – Non-refundable)
Funded session (£20.00 – redeemable)


Location

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Child Information

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Home Address

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Parent/Carer 1 Details

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Parent/Carer 2 Details

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Additional Information

Details of additional contacts with parental responsibility as defined by the Children Act 1989 or other legislation. Parental responsibility may be shared between a number of people beyond the child's natural parents for example step parents, adoptive parents, a child's guardian or by virtue of being named in a child arrangements order. Married parents may share parental responsibility and on separation or divorce both parents may continue to have parental responsibility.

In case you want a person other than a parent or carer to collect your child, please supply us with a password only to be used with your authorisation when collecting

People living in the same household including details of any other siblings living in the same home. Please list their full names, contact numbers and relationship to the child.


Medical Information

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Sessions Request Table

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Please tick preferred sessions below (Open, closing & session times may vary depending on the setting you are attending.)

School Day is 9:00 - 15:00. Half day sessions are 3 hours.

The additional hour can be taken to attend 08:30 - 15:30 or 11:30 - 12:30.

School Day is 8:30 - 15:00. Half day sessions are 3 hours.

The additional half/hour can be taken to attend 08:00 - 08:30 and/or 15:00 - 15:30.


Funding Codes

Check if you are eligible for Tax-Free Childcare, 15 Hours Free Childcare, 30 Hours Free Childcare, and any additional funding options through: https://www.childcarechoices.gov.uk/

If applicable, please provide below the details of the scheme and the relevant funding code:


Privacy Notice

We take your privacy seriously and will only use your personal information to manage your account with us and to provide care to your child under the terms and conditions of this contract.

From time to time we will need to contact you via phone, email or Tapestry to provide you with updates, share relevant news and send to you invoices. We will input the data from this application form into our Childcare system which we use to manage our settings (as defined below). Your data is held in secure data centers and can only be accessed by authorised personnel.

Our Information Sharing Policy (which you acan obtain from the manager) details the safeguarding framework under which we have a statutory obligation to share information with relevant agencies without obtaining consent (for example, when we believe it would put a child at further risk by doing so).

By ticking this form, you confirm that you have read and understood this Privacy Policy.

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Permissions

Permissions for Emergency Medical Treatment

Paint Pots PreSchool & Nursery Ltd reserves the right to take a child to hospital or to a doctor in the event of an emergency. By signing below, you are providing your written permission for the setting to do so. The company will make every reasonable effort to ensure a child’s well-being but cannot accept responsibility for medical problems.

Permission for Photographs / Videos (Internal) *

Photographs and videos of your child are taken routinely for display purposes within the setting and to record observations of your child to enable us to assess his/her development. These are shared with parents/carers via a secure on-line system.

Permission for Photographs / Videos (social media) *

I give my permission for still and/or moving images, being video footage, photographs and/or frames and/or audio footage depicting my child to be used for: Paint Pots PreSchool & Nursery Ltd social media pages.

Permission for Photographs (Photographer) *

I give my permission for photographs to be taken of my child from time to time by an approved photographer for my consideration to purchase copies. All copies not purchased will be destroyed.

Permission for Local Outings *

I give permission for my child to be taken on supervised visits e.g. to local shops, to post a letter.

Permission for use of normal baby/childcare products *

I give my consent to staff at Paint Pots to use all normal baby / child care products including washing products, cotton wool, sun cream.

Permission for sharing child’s details with schools *

I give my consent for Paint Pots to share my child’s development details with the school that he/she will be moving to from a Paint Pots setting, in support of transition.


I have read and agree to the terms and conditions and give my permission for my child to be cared for by Paint Pots PreSchool & Nursery Ltd under these terms. I confirm that the information on this form is accurate and that I will advise the setting of any changes or where I no longer provide consent in relation to any of the permissions stated above.

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Please check the form, ensuring all required fields are completed, before submitting. Incomplete required fields will be highlighted in red if the form is submitted with incomplete required fields.

The form will only have been submitted successfully when the form is no longer visible, and the following message is shown: "Thank you for registering. You will shortly receive a confirmation email. We will respond to you as soon as possible."

If you have any issues registering interest, please contact interest(at)paintpotsnursery.co.uk.