Registration - Living Heritage School

Child's Details*

Full Name*

First

Middle

Last

Date of Birth*

Gender*

Address*

Postcode*

Nationality*

Parent/Guardian Details*

Parent/ Guardian Name*

First

Middle

Last

Relationship To Child*

Phone Number*

Date & Time*

Email*

Address (If Different From Child's)*

Nursery Placement information*

Requested Start Date*

Preferred Session Type*

Specific Days? Please Specify:*

Funding Eligibility *

Child Development Information*

• Has your child attended a nursery before? *

If yes, please specify: *

• Does your child have any special educational needs or disabilities? *

If yes, please specify: *

Kindly state any additional suppport required*

Medical & Health Information*

Immunisations up to date? *

Any ongoing medical conditions? *

If yes, please specify: *

Any medications required during nursery hours?*

No If yes, please provide details: *

Dietary Restrictions:*

Parental Agreements*

I agree to provide necessary emergency contact information*

I acknowledge and understand the nursery’s policies and procedures. *

I consent to my child’s participation in nursery activities.*

I have read and agree to the nursery’s terms and conditions. *

Declaration*

I confirm that the information provided is accurate and complete. I agree to abide by the policies and procedures of Living Heritage Nursery.