Smiles Montessori Newhall

SMILES MONTESSORI NEWHALL

REGISTRATION FORM

Please inform the Manager immediately if any details contained in this application form changes at any time in the future.

Details of the Child

Child’s Name:
Date of Birth:
Address:
Post code:
Home Tel:
Sex F/M:
Religion:
Languages Spoken:
(Please state your child’s first language at home).
Country of Origin:

Contact Details

Mother’s Name / Fathers Name
Address: / Address:
Occupation: / Occupation:
Home Tel: / Home Tel:
Mobile: / Mobile:
Work Tel: / Work Tel:
Work Address: / Work Address
Is there any other person with parental responsibility for the child? / Please state:

Sessions Required (please tick)

Sessions / Hours / Monday / Tuesday / Wednesday / Thursday / Friday
Early Morning / 7.30 – 8am
Breakfast / 8-9am
Morning / 9am-12pm
Lunch / 12-1pm
Afternoon / 1-4pm
Tea / 4-5pm
Extended Afternoon / 5-6pm
Late Session / 6 – 6.30pm

Each child is required to attend for a minimum of 3 sessions a week once they transfer into Pre-School.

Required date of commencement:………………………………………………………

Expected leaving date if known:………………………………………………………..

How did you hear about us?......

I enclose a non-returnable registration fee of £30

I enclose a deposit of £50

Cheques made payable to “SMILES Montessori Newhall”.

I confirm that I have read all the information contained within SMILES Montessori Newhall’s Prospectus and agree to be bound by all policies and procedures mentioned therein.

Signed………………………………. Date………………………………….

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(Office Use Only)

Date form received………………………………………………………..

Payment enclosed Yes/NO

PARENT CONTRACT

This Contract is between the Proprietor of Smiles Montessori Newhall of 4/5 New Pond Street Newhall Harlow CM17 9FH and the Parents/Legal Guardian(s) or such other interested party that may be settling the account on behalf of the Parents/Legal guardians of the child named below.

Name of Child…………………………………….Date of Birth……………………

Date Child Commencing School…………………………………..

Sessions required:-

Sessions / Hours / M / T / W / TH / F
Early Morning / 7.30am – 8pm
Breakfast / 8am-9am
Morning / 9am-12noon
Lunch / 12noon-1pm
Afternoon / 1pm-4pm
Tea / 4pm-5pm
Extended Afternoon / 5pm-6pm
Late Session / 6pm – 6.30pm

The preschool agrees to care for the above-named child between the hours stated and to provide all meals, snacks and drinks normally served between those hours.
It is understood that amendments permanent or short-term will not affect the general terms within this Contract.
The parents agree to pay the school fees for the hours attended at the rate(s) published in our most recent prospectus.
Full fees are payable during any absence of the child including sickness, holidays and bank holidays with the exception of our Christmas closure. All fees are payable calendar monthly in advance.
£50 refundable fees are payable as a deposit to secure your child’s place at Smiles and will be deducted from your last month’s fees.
Sessions at Smiles run for a minimum of 3 hours. Parents of children accessing the Government Funding will need to be aware that the 38 weeks funding is stretched over 50 weeks and an additional charge of £1.99 per hour will be payable for funded hours for snacks, drinks, meals, Ruggerkidz, French, dance classes, gardening and cooking activities. This will not exceed our sessional charge.
Parents of children accessing the Government Funding for 2-3 year olds will need to be aware that funding is stretched over 50 weeks and an additional charge of £1 per hour will be payable for funded hours for snacks, drinks, meals, dance classes, Ruggerkidz, gardening and cooking activities. Parents of children accessing the 2-3 year old funding will also be required to pay £30.00 non- refundable registration fee and £50 deposit which will be deducted from your child’s last month’s fees.
It is compulsory that all children aged 2 years and above including those accessing all Government funding must attend school in the official school uniform. Failure to do so may result in your child being refused admission. Both new and nearly new uniform can be purchased from the office.
The parents understand that late collection of their child will result in a penalty charge being levied.
The pre-school reserves the right to revise fees, hours of opening and general policies at its own discretion.
Four weeks written notice is required and payment due in full on the occasion that the preschool place is no longer required, including a reduction in attendance, even where the child is unable to attend.
The parents understand that changing of sessions will not be deemed as swapped but as an extra session which will be charged for.
Should the need to take steps to obtain payment of any sums due and unpaid including court action or using the services of a debt collection agency, the parent must pay our legal costs.
Where payment of fees are made late, (after 7 days) the pre-school will not allow your child into the setting until full fees have been paid.
Please let us know if your child has a special need prior to commencement as it is possible that the school will not be able to meet your child’s need.
The preschool does not accept any responsibility for personal belongings which may be lost, including items of clothing even where they are properly labelled.
Valuable items such as jewellery and toys should not be brought into the pre-school under any circumstances.
Prior to signing the Contract, the parents has visited the premises and satisfied themselves as to the activities and general standards that operate within the pre-school.
The terms and conditions of this Contract do not affect the Parents Statutory Rights.

At Smiles, we strive to provide a high quality service, but should you have a complaint regarding any aspect of the nursery, please speak to Julia Jeffrey who will aim to bring about a suitable conclusion or ask for a copy of our complaints procedure. If you require a copy of any of our policies or procedures, these can be obtained from the main office.

I/We have read the terms and conditions contained in this Contract and agree to abide by them. I accept the offer of the place being offered to my child.

Parents Name:………………………………………….

Address…………………………………………………

…………………………………………………………

Signed:……………………………………….Date……………………………

Smiles Montessori Newhall

4/5 New Pond Street Newhall Harlow Essex CM17 9FH

CHILD INFORMATION FORM

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Personal Details

Full Name of Child:………………………………………………………………

Date of Birth:…………………………………………………………………….

Please provide proof of age ie Birth Certificate or Passport.

Address:………………………………………………………………………….

…………………………………………………………………………......

Post Code……………………………

Mothers Name:……………………………Fathers Name………………………

Home Tel:Home Tel:

Business Tel:Business Tel:

Mobile:Mobile:

Mothers Address (if different from above)…………………………………………

Fathers Address (if different from above)…………………………………………..

E Mail Address……………………………………………………………………….

Medical Details

Name and Address of Child’s G.P…………………………………………………….

………………………………………………Tel No:…………………………………..

Please provide details of allergies or disabilities your child has or is suspected of having:…………………………………………………………………………………

…………………………………………………………………………………………

Please list immunisations that your child has had to date:……………………………...

…………………………………………………………………………………………..

Dietary Details

Please provide details of any foods that your child should not be given on the following grounds:-

Medical:

Religious:

Personal Preference

Permissions

I /We give consent for Smiles staff to apply hypoallergenic sun cream to my child’s arms, hands, face and neck – without further notice (cream supplied by Smiles).

Signed……………………………………….

I /We give consent for Smiles staff to apply nappy rash cream and Vaseline in the normal course of cleaning, changing and caring for my child – without further notice.

Signed……………………………………….

I/We agree to Smiles staff seeking any necessary emergency medical advice or treatment if necessary, including escorting my child to hospital via emergency services if a serious accident was to occur.

Signed……………………………………….

I/We give consent for my child to be taken on outings eg nature walks.

Signed………………………………………..

I/We give consent for photographs/videos to be taken of my child.

Signed………………………………………..

I/We give consent for photographs to be used to update Smiles website and Face book page.

Signed………………………………………

I/We give consent for observations to be taken of my child.

Signed………………………………………..

I/We give consent for observations to be taken of my child in the setting by Health Visitors or Senco, should the need arise.

Signed……………………………………….

Is there anything else we should know about your child? Please give details ……......

…………………………………………………………………………………..

COLLECTION OF YOUR CHILD

Please provide us with a PASSWORD for authorised collection of your child. No child will be permitted to leave the premises with any person unknown to staff who cannot provide the password. The password can be altered when necessary. It should be noted that any person who has regularly delivered or collected your child to and from Smiles will be deemed fit to do so until such time that you inform us of a change in collection arrangements.

The Password is………………………………………………………

Please let us know in advance that a person unknown or vaguely known is collecting. Persons collecting must be a least 16 years old.

EMERGENCY CONTACTS

Although we will always try to contact Parents in the first instance, please provide telephone numbers of a friend or relative that can be contacted should an emergency arise.

Name………………………………..Name…………………………………..

Address………………………………Address………………………………..

……………………………………….………………………………………….

………………………………………………………………………………….

Tel No:……………………………….Tel No…………………………………..

Relationship to Child…………………Relationship to Child……………………

Please let us know of any changes to the above details immediately they occur.

UNIFORM

I would like to order Polo shirts priced at £5.95 each

I would like to order Sweatshirts priced at £7.95 each

I would like to order Dresses priced at £10.00 each

I would like to order Cardigans priced at £8.50 each

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(Office use only)

Class allocated……………………………….

Sessions agreed………………………………

Start Date……………………………………..

Ethnic Category FormEarly Years Provision:

White
British - WBRI
Irish - WIRI
Traveller of Irish Heritage - WIRT
Gypsy/Roma - WROM
Albanian (excluding Kosovan) - WALB
Italian - WITA
Kosovan - WKOS
Greek/Greek Cypriot - WGRE
Turkish/Turkish Cypriot - WTUR
White Eastern European - WEEU
(including Bulgarian, Czech, Latvian, Lithuanian, Polish, Romanian, Russian, Slovak, Ukranian,)
White Western European - WWEU
(including French, German, Spanish, Portuguese, Scandinavian)
White other WOTW
(Other children of White background notrepresented in the categories above)
Black or Black British
Caribbean - BCRB
(including Antigua and Barbuda, Bahamas, Barbados, Dominica, Grenada, Guyana, Jamaica, St Kitts and Nevis, St Lucia, St Vincent & Grenadines, Trinidad and Tobago)
Angolan - BANN
Congolese - BCON
Ghanaian - BGHA
Nigerian - BNGN
Sierra Leonian - BSLN
Somali - BSOM
Sudanese - BSUD
Other Black African - BAOF
(including Black South African, Ethiopian,
Rwandan, Ugandan, Zimbabwean)
Any other Black background - BOTH
(Other children of Black background not represented in the categories above, including Black Canadian, Black European, Black North American) / Mixed/dual background
White and Black Caribbean - MWBC
White and Black African - MWBA
White and Asian - MWAS
(including White and Bangladeshi, White and Pakistani, White and any other Asian background)
White and any other ethnic group - MWOE
Other mixed background - MOTM
(Other mixed race children not represented in the categories above, including Asian and Black, Asian and Chinese, Asian and other ethnic group, Black and Chinese, Black and other ethnic group, Chinese and other ethnic group)
Asian or Asian British
Indian - AIND
Pakistani - APKN
(including Mirpuri Pakistani, Kashmiri Pakistani and other Pakistani)
Bangladeshi - ABAN
Nepali - ANEP
African Asian - AAFR
(including East and South African Asians)
Other Asian - AOTA
(Other Asian children not represented in the categories above, including Kashmiri Other, Sinhalese, Sri Lankan Tamil)
Chinese
Hong Kong Chinese - CHKC
Other Chinese - COCH
(Other Chinese children not represented in the category above including Malaysian Chinese, Singaporean Chinese, Taiwanese)
Any other ethnic background
Afghanistani - OAFG
Filipino - OFIL
Thai - OTHA
Vietnamese - OVIE
Any other ethnic group* (see below) - OOEG
*Any other ethnic group
(children of ethnic backgrounds not represented in the categories above including, Palestinian, Kuwaiti, Jordanian, Saudi Arabian, Egyptian, Iranian, Iraqi, Japanese, Korean, Kurdish (from Iraq, Iran, Turkey), Central American, South American, Cuban, Belize, Lebanese, Malaysian (other than Malaysian Chinese), Moroccan, Polynesian, Fijian, Tongan, Samoan, Tahitian, Yemeni)
I do not wish an ethnic background category to be recorded - REFU

Name of child:.……………………………………………………………….