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Jabberwocky Club Online Registration Form

Application Form

Section 1 - Parent / Guardian Information

* Indicates required field

Name (1) - (Also Signature) *

First

Last

Name (2) *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Landline Number *

Place of Work (1) *

Mobile Number (1) *

Email (1) *

Place of work (2) *

Mobile Number (2) *

Email (2) *

Section 2 - Child Information

Name *

First

Last

Date of Birth *

Religion *

First Language *

Ethnic Origin *

Date Required To Start The Jabberwocky Club *

Allergies *

Regular Creams or Medication *

Special Dietary Requirements *

Please indicate if your child had any of the following immunisations and if YES please give dates.

Whooping Cough *

Yes No

Date *

Tetanus *

Yes No

Date *

Measles *

Yes No

Date *

Polio *

Yes No

Date *

Diphtheria *

Yes No

Date *

Child's Registered Doctor's Information

Name *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Other Professionals Information

Other professionals information *

Required Sessions

Please send your registration fee via transfer to...

Santander

Account Name – Nursery Rhymes LLP

Sort Code – 09-07-20 Account Number - 03217043

Childcare Agreement

On signing this Childcare Agreement, I/we understand that Nursery Rhymes:

Is open 7:30am to 6:30pm Monday to Friday for full time or part time care, and late pickups will be charged for.
Is closed for one full week at Easter, one full week in August, the days between Christmas and New Year and all Public Holidays.
Does not charge for the above mentioned closures.
Takes a deposit to secure a place of one month’s fees. In the event I/we cancel, or the start date is delayed I/we understand the deposit is non-refundable, or if the number of sessions required is reduced the deposit will only be partly refundable.
Requires monthly fees to be paid by the 1st of the month, one month in advance of services being provided e.g. July fees would be due by 1st June. I/we understand that interest and an administrative fee will be levied on late payments of fees and that repeated late payments may result in your child’s place being suspended.
Requires parents to give one month’s written notice of removing their child from nursery or to reduce sessions of attendance. In the event that I/we do not provide this written notice, or the notice period is shorter than required, I/we understand that one full month’s fees will be due in lieu of notice or part of.
Cannot provide refunds in case of illness, absence, or holidays, as we will have already made commitments to ensure appropriate staff ratios.
Requires that I/we notify the nursery in case of absence either by letter, telephone call, email or in person in line with the Absent Child Policy.
May need to occasionally administer medication in line with the nursery’s First Aid and Childhood Health policies and procedures. I/we understand that the staff cannot undertake the care of sick children, in particular when a child is infectious. I/we understand that if our child was to fall ill whilst in the care of Nursery Rhymes, we will be asked to collect him/her, and he/she may not return until after the required exclusion period in accordance with our Sickness and Illness Policy.
Is pleased to discuss our child’s work and personal records at a mutually convenient date and time. I/we are also aware that the nursery is happy for us to take our child’s record chart home to read, as long as it is returned for our child’s following session.
Has been provided with photographs and a password of any adult who you have given permission to collect your child from the nursery. I/we have received a signed copy of this agreement.
Follows GDPR and Confidentiality Policies in relation to sensitive and confidential information about our child.
Will not tolerate discrimination on the grounds of sex, race, religion, disability, creed, or colour.
May withdraw a place for your child/children following aggressive behaviour by a parent.
Cannot take responsibility for personal items in line with its Personal Belongings Policy.

Hospital Admittance Permission Form

If a child in our care needs hospital attention, then we will endeavour to contact the named parent/guardian as soon as is possible, however Nursery Rhymes reserves the right to call for an ambulance and / or take a child to hospital to prevent delay if instructed to do so by NHS 111 Service.

We respectfully ask parents/guardians to sign the consent form to confirm the hospital admittance policy is fully and clearly understood.

I / We give permission for Nursery Rhymes to contact the NHS 111 service, or to use other means of transportation as necessary in order for my/our child to taken to hospital in cases of emergency.

I/We understand that contact will be made to ourselves as soon as is feasible to do so and will try to meet at the nursery before the child is taken to hospital or at the hospital, whichever is the most appropriate and quickest to do.

Choose Any *

Agree Disagree

Outings Permission Form

Outing Policy

Nursery Rhymes will seek to take the children out on walks and visits in line with events and areas of interest that we are covering within the nursery. Outings may include trips to the park, to feed the ducks, or to visit the local shops and amenities.
When these outings are undertaken it is Nursery Rhymes policy that all children will be supervised with the correct staffing ratios and the children shall wear wrist straps, walking harnesses or be securely fastened in pushchairs. Nursery Rhymes will endeavour to let parents know in advance of any planned outings.
We respectfully ask you to sign the below consent form so that your child can participate in any such outings, enabling your child to be involved in the full range of experiences that we provide.
Nursery Rhymes will always request separate parental/guardian's consent for trips outside of the village or when transport is required.

I give Nursery Rhymes permission to take my child on any outings that the staff think may be beneficial to my child's enjoyment whilst attending the nursery.

Choose Any *

Agree Disagree

Photograph Permission Form

From time to time Nursery Rhymes may wish to take photographs of the children for display and publicity purposes. It is our responsibility to ensure that permission is given before we use any photographs either within the room, or online. This permission form explains why we will need your consent before we are able to take photographs of your child during their time at Nursery Rhymes.

We may take photographs for several reasons whilst your child is with us, including:

Documenting and recording educational activities
Recording their learning and development progress
Recording special events and achievements

We will also encourage children to be active learners, and to become involved in using cameras themselves by taking photos of their surroundings, activities and of each other.

We do however recognise that with the increase use of technologies, particularly digitally and online, the potential for misuse has become greater and we understand that this can give rise to concern. We will therefore endeavour to put effective safeguards in place to protect children and young people by minimising risk.

We are mindful of the fact that some families may have reasons why protecting a child’s identity. If you have special circumstances either now or at any time in the future which would affect your position regarding consent, please let us know immediately.

A camera is available in each of the playrooms and this will be the only one which will be used when taking photographs of children. Members of staff are not permitted to take photographs of children using their own camera or mobile telephone with a camera. The nursery mobile phone does not have a camera and so it is safe to use when away from the setting.

To comply with the General Data Protection Regulations, we need your permission before we can photograph or make any recordings of your child.

We now have the exciting dimension of adding our images to our social networks such as Facebook and the Nursery website which also means that we can easily share photographs with family and friends.

Whilst this can be useful to all of us, we must ensure we protect and safeguard all children, including those who do not want to have their images stored online.

“Nursery Rhymes & Jabberwocky Club” Facebook page is available as a page for people to ‘like’ and we have set up the appropriate security settings to maintain the privacy of the children and the things we choose to upload.

This is a communication tool for the setting and we only use it to:

Promote certain events such as our Calendar of Events
Update parents on staff training and development
To give any news

To show photographs of activities, trips or special occasions.

The Nursery Management team are the only administrators of this page and are solely responsible for keeping it updated and keeping up to date with the latest security settings required for the page. Only photographs of children whose parents have given written consent are used on this page. We are happy for parents/carers to take photographs for personal use, but we do request that those images are not distributed or put on our page if they contain images of other children, adults or staff without consent. We never reveal any names or personal details about children whose photographs are published on the page. This will help protect all members of the community.

Parental Consent for Images – Conditions of Use

This form is valid for the period of time your child attends the setting. The consent will automatically expire after this time. We will not re-use any photographs after your child leaves the setting without additional consent.
We will not use any personal details or full names of any child or adult in a photographic image on our website or Facebook page.
We may include pictures of children and staff that have been drawn by the children
We will discuss the use of images with children in an age appropriate way to role-model positive behaviour
This consent can be withdrawn by the parent/carer at any time by informing Nursery Rhymes in writing.

Please tick the boxes you wish to say YES to. *

May we use your child’s photograph/image in displays around the setting? May we use your child’s image on group photographs? May we record your child’s image for assessments, monitoring or other educational uses within the setting? (to be used internally only) May we use your child’s image on our website? May we use your child’s image on our Facebook page?

Submit all forms

Contact Us

ADDRESS:
Nursery Rhymes
2 Bolton Road
Addingham
ILKLEY
West Yorkshire
LS29 0NR

CONTACT PHONE:
01943 839000

E-MAIL ADDRESS:
[email protected]

Home | Contact Us | Website Terms and Conditions

Jabberwocky Club Online Registration Form

Application Form

Childcare Agreement

Hospital Admittance Permission Form

Outings Permission Form

​Photograph Permission Form

Contact Us

Photograph Permission Form