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  • About Us
  • Breaking News
  • Playdays 1 @ Harold Hill Comm Centre
  • Playdays 2 @ The Betty Strathern Centre
  • Playdays 3 @ The United Reformed Church
  • Playdays 4 @ Brownsea Hall
  • Playdays 5 @ Henderson Sports and Social Club
  • Playdays 6 @ SCOTT LODGE
  • PLAYDAYS 7 @ TWO GABLES
  • Playdays 8 @ MYPLACE
  • BRETONS PRESCHOOL
  • NUTKINS NURSERY @ SQUIRRELS HEATH INFANT SCHOOL
  • NUTKINS NURSERY 2 @ GIDEA PARK METHODIST CHURCH
  • Opening Times and Term Dates
  • Contact Us
  • Application Form
  • Policies and Procedures
  • Our Curriculum
    • Terms and Conditions
  • Parents Guide to the EYFS
  • 2 Year Funding
  • SEND
  • TAX FREE CHILDCARE
  • 30 HOUR FUNDING
  • Amazon Fundraising - As an Amazon Associate I earn from qualifying purchases.
Application Form 
Registration  Form


Name of child...........................................................................................Date of birth...............................................

Address.............................................................................................................................................................................

.............................................................................................................................................................................................

Parents/Guardians name/s and Telephone No........................................................................................................................................................................................

Other Contact No...........................................................................................................................................................

Who has parental responsibility ?..............................................................................................................................

Who is authorised to pick up your child ? …............................................................................................................

Any other Contact names or numbers in the event of us being unable to contact any of the above ?

….........................................................................................................................................................................................

Name, Address and Tel No of Doctor  ...................................................................................................................

…........................................................................................................................................................................................

Immunisation Details  .................................................................................................................................................

Special needs:

Dietary……………………………..........................................................................................................…..........................

Medical……………………………………………………………………………………………................................

Allergies ……….…..................…………………………………………………………………….................................

Language spoken at home................................................................................................................................………….

Religion/Belief………………………………………………………………………………………............................

I, the parent/guardian of the child named above give my permission for the child to attend hospital with a member of Playday’s staff in an emergency at the playgroup leader’s discretion.

I confirm that I have read and understood the preschool policies and procedures.

Parent/Guardian’s signature..............................................................................................Date..................................................................

Any other information or concerns  (Please use other side if required)  ....................................................…………………….................................................................................................................

claire.lakin1@btopenworld.com      /     07595 603498



Staff Use - Birth Certificate Confirmed                            Start Date :


   

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  • About Us
  • Breaking News
  • Playdays 1 @ Harold Hill Comm Centre
  • Playdays 2 @ The Betty Strathern Centre
  • Playdays 3 @ The United Reformed Church
  • Playdays 4 @ Brownsea Hall
  • Playdays 5 @ Henderson Sports and Social Club
  • Playdays 6 @ SCOTT LODGE
  • PLAYDAYS 7 @ TWO GABLES
  • Playdays 8 @ MYPLACE
  • BRETONS PRESCHOOL
  • NUTKINS NURSERY @ SQUIRRELS HEATH INFANT SCHOOL
  • NUTKINS NURSERY 2 @ GIDEA PARK METHODIST CHURCH
  • Opening Times and Term Dates
  • Contact Us
  • Application Form
  • Policies and Procedures
  • Our Curriculum
    • Terms and Conditions
  • Parents Guide to the EYFS
  • 2 Year Funding
  • SEND
  • TAX FREE CHILDCARE
  • 30 HOUR FUNDING
  • Amazon Fundraising - As an Amazon Associate I earn from qualifying purchases.