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Daisy Chain Nursery Enrolment

DAISY CHAIN ENROLMENT FORM


Child's Full Name

 

 

Ethnic Origin

 

First Language

 

Religion

 

Any Special Needs/ diet

 

 


Anticipated Hours of

Attendance


 

From

 

To

Monday

 

 

 

Tuesday

 

 

 

Wednesday

 

 

 

Thursday

 

 

 

Friday

 

 

 

 

Anticipated Start Date

 

 

How did you hear about us?

 

 

Why did you choose us?

 


I agree to my child going on nursery outings (delete accordingly)


 

on foot

Yes

No

by car/private

Yes

No

by public transport

Yes

No


I hereby certify that I have read and agree to the terms and conditions of enrolment.


Parentsí/Guardians

Dated

 

Signatures

 

Dated

 


 

For Nursery Use Only

 

Registration fee of £30 paid

 

Entered in Register

 

Entered in Child File

 

Entered in N/A Book