Goodmayes Kindergarten

Correspondence Address

Post To

11 Queen Mary House

Queen Mary Avenue

South Woodford

London E18 2FW

0208 506 0098

Enrolment Form

 Manager:  Jean Tabersham
Telephone 07703 933009

Founded In 1975
 

For Children aged 2 ½  to 5 Years

E Mail: info@nursery1.co.uk

www.nursery1.co.uk

Member of The Pre School Learning Alliance

Date of enrolment

 

Child’s Surname

 

Date of Birth

 

Child’s Forename

 

Parent’s forenames

 

Child's Sex   M  or  F

 

Parents Address

Telephone Home

Childminder's Name

Telephone

 

 

 

Home

 

Mobile

 

Mobile

 

 

Person to contact in Emergency

Home

 

Tel. Business

 

Mobile

Doctors Name and Address

Telephone Number

Medical Details / Allergies etc.

Child’s Religion

 

 

 

 

 

 

 

1st Language Spoken at Home

 

 

 

 

 

 

Other Children At Home

Names

Ages

Number of sessions Required Per Week  

 


In the event somebody other than yourself has to collect your child it is necessary for you to inform us on arrival. Your unique password MUST be given before the child will be handed over. Your Collection Password is _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 
Please strike out which does not apply
I Do / Do Not Give consent for my child to receive emergency medical treatment in the event that I cannot be contacted.
Termination
Four weeks notice is required should a child be removed from the nursery. If it is not possible to give notice of the termination, then four weeks times the number of sessions per week becomes payable.

We often photograph children’s activities at nursery; photo’s are used to display for parents on notice boards, OFSTED inspections, and are occasionally published on our publicity material. If you do not want your child photographed place an X  here _______

 I have read and understood the above enrolment form_______________________________________Signature of Parent
Please inform the nursery leader of any family circumstances that may affect your child - all personal details will be treated as strictly confidential.
When you have completed and signed this form please post it with the enrolment fee to the address below,
or hand it in to the Nursery Manager.

Correspondence Address  Mrs. Maureen Cassidy 11 Queen Mary House, Queen Mary Avenue, South Woodford E18 2FW
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