Registration

Name of child (in full)(Required)

First Middle Last

Gender(Required)

Date of Birth(Required)

Religion

Nationality

Name(s) of any siblings currently at SVPS/SVS

Admissions

When is admission desired, subject to vacancy?(Required)

Do you require all year round Nursery or term time only?(Required)

What sessions do you require?(Required)

You must choose a minimum of three sessions.

Child's Health and Requirements

Please state any information regarding your child's health(Required)

This should include allergies, asthma, diabetes and any dietary restrictions. Please write 'none' if your child has no health issues that we should be aware of.

Has your child met all the expected early development milestones?(Required)

Yes

If no, please provide details

Does your child have any special needs?

Failure to disclose relevant information could jeopardise the level of support your child may receive. The Nursery Teacher may ask to see your child’s Health Visitor red book.

Parental Information

Please could addresses for both parents, where parental responsibility is held, be entered above, even where a parent is not actually caring for the child. This is so reports, general correspondence and relevant information from the Nursery in matters affecting the child can be duplicated unless otherwise instructed or a court order indicates otherwise.

Father's Information

Name of father(Required)

Prefix First Last

Occupation

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Mobile Number(Required)

Home Number

Work Number

Email Address(Required)

Mother's Information

Name of mother(Required)

Prefix First Last

Occupation

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Mobile Number(Required)

Home Number

Work Number

Email Address(Required)

If separated, with whom does the child live?

Mother

Father

Other

If other, please provide details below:

Emergency Contacts

It is essential that the Nursery holds details of at least two emergency contacts who reside at different addresses. Please supply details of any other person who has parental responsibility or an additional emergency contact who does not reside at the pupil’s home address.

Emergency Contact One - Name(Required)

Prefix First Last

Occupation

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Mobile Number(Required)

Email Address(Required)

Emergency Contact Two - Name(Required)

Prefix First Last

Occupation

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Mobile Number(Required)

Email Address(Required)

Current Nursery

Name and address of current nursery / pre-school

Headteacher's name

Telephone number

Please upload your child's birth certificate or passport.(Required)

Drop files here or

Max. file size: 50 MB.

Submit Form

To accept this registration form, a non-refundable registration fee of £50 also needs to be paid. Please make payment via the Nursery’s website with a debit or credit card. Any change of circumstance or address should be notified to the Admissions Office as soon as possible. Little Lambs Nursery reserves the right to request further information about a pupil’s immigration status and, where appropriate, to share this information with the UK Visas and Immigration.

Print Name(Required)

Date(Required)

Once you submit your registration form, you will be redirected to our payment page to pay your £50 registration fee. Please note this will take you to the Sutton Valence School payment page.

Payment(Required)

I understand that once I submit my registration form, that I will be redirected to the payment page to pay the £50 registration fee.

Please note this will take you to the Little Lambs payment page.

Registration Form

Admissions

Child's Health and Requirements

Parental Information

Father's Information

Mother's Information

Emergency Contacts

Current Nursery

Submit Form

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