1. BETLEY PRE-SCHOOL REGISTRATION FORM
(please bring on first day at Pre-School)
Please confirm that you have read the Welcome Pack (please tick)
Child's Name:
Known as: Date of Birth:
Religion: Ethnic Origin:
First/Home Language:
Details of any
disability:
Access requirements:
Names Of Parents/
Person(s) Holding
Parental
Responsibility:
Home Address:
Home Telephone No:
Mobile No:
Email Address:
Work Address &
Telephone No:
Additional emergency contact numbers:
Name: Tel:
Mobile:
Relationship To Child:
Name: Tel:
Mobile:
Relationship To Child:
Name: Tel:
Mobile:
Relationship To Child:
Persons Authorised To Pick Up The Child (please include someone local if possible in
case of emergency cover for you):
1
2
3
Emergency Password (For you to pass to a person not on the authorised list to
quote to a staff member if, in an emergency situation, you require them to pick
up your child. A child will only be released to anyone who gives the password or
is on the authorised list unless prior written consent is provided):
Password:
26/11/2008

2. BETLEY PRE-SCHOOL REGISTRATION FORM
(CONTINUED)
Medical Information
Important Medical Conditions:
(e.g. Allergies)
Injections Received:
Child's Doctors Name:
Address:
Tel. No:
I give my consent for my child to receive any medical treatment which is urgently
necessary except:
Signed (Parent Or Carer): Date:
Print Name:
Any special dietary
requirements:
Any other relevant
information:
I understand that any carer who suspects that a child in his/her care has been abused or
neglected has a duty to report this to the Social Services Department
Signed (Parent Or Carer): Date:
26/11/2008

3. VOLUNTEER HELP FORM
Dear Parents and Carers,
On occasions our staff cannot attend at short notice due to illness of
themselves or a child and we have to maintain the correct ratio of staff to
children at all times or the Preschool cannot operate. We aim to get around
these short notice problems by having a standby list of parents or carers who
can fill in if required on certain days.
Below we have attached a slip for you to complete and we would be grateful if
you could indicate your availability so that the same 1 or 2 people are not
constantly called upon to provide your child with care.
If you do provide cover, it is agreed that your child will be free that day,
however, we cannot allow you to bring children/babies (under 2yrs) as this
would affect the staff:children ratios as it is 1:1 cover for children below 2
years of age.
Many thanks for any help you can provide.
…………………………………….………………………………………………
NAME:
TEL NO:
MOBILE NO:
I can be available on:
Monday 9.20am to 1.10pm
Monday 11.40 am to 3.10pm
Thursday 9.20am to 1.10pm
Friday 9.20am to 1.10pm
Friday 11.40am to 3.10pm
26/11/2008

4. PERMISSION SLIP
In order to save you time completing several permission slips, we ask you to
complete the following to cover many such activities.
I give permission for my child (name) ___________________________ to
participate in the following:-
Food Tasting
Pre-arranged Visits
Activities with pets/animals
Photographs to be used within Pre-school for display only
Photographs can be used for advertising purposes
26/11/2008