Office use only (1 and 2 years)

[ ] Welcome pack paid [ ] On waiting list [ ] Letter sent [ ] Identification: ___________ [ ] On system [ ] On register

Meadows Nursery School

REGISTRATION FORM Child’s Information

CHILD’S FULL NAME

CHILD’S DATE OF BIRTH

GENDER

CHILD’S ADDRESS

CHILD’S MAIN LANGUAGE

ADDITIONAL LANGUAGES SPOKEN

CHILD’S RELIGION

CHILD’S ETHNIC ORIGIN

PROPOSED START DATE

Please indicate when you would like your child to start at the nursery

Please indicate the sessions that you would like your child to do by placing a tick in the relevant boxes:

Monday Tuesday Wednesday Thursday Friday

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8:00am start

8:30am start

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9:00 to 12:00

Food options throughout the day. 8am=Breakfast 12pm = Lunch 5pm - Tea

Please circle Please circle Please circle Please circle Please circle

Breakfast Hot

Lunch Breakfast

Hot lunch

Breakfast Hot

lunch Breakfast

Hot lunch

Breakfast Hot

lunch

Packed Lunch

Tea Packed Lunch

Tea Packed Lunch

Tea Packed Lunch

Tea Packed Lunch

Tea

Finish morning session at ...

1pm 1:30pm 1pm 1:30pm 1pm 1:30pm 1pm 1:30pm 1pm 1:30pm

Start afternoon session at ...

12pm 1pm 12pm 1pm 12pm 1pm 12pm 1pm 12pm 1pm

1:30 to 4:30

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or 5:00pm finish

or 5:30pm finish

or 6:00pm finish

Please complete and return these forms to the nursery as soon as possible for your child to be registered with the nursery school. Upon registration we will provide you with an ‘additional information’ booklet for completion. Thank you

Sessions and Payment terms

• Fees are charged on an hourly basis for children of the following age groups; under the age of 2 years, £5.00 per hour 2 to 3 years, £4.85 per hour 3 years and over, £4.85 per hour

Breakfast; £1.50, Zebedees hot lunch; £2.45, Tea; £1.50

• Payment is made in advance each month and is due for payment within 14 days of invoice.

• late fees will be charged as follows; £5 for the first 5 minutes then £10 for every 15 minutes thereafter.

• Payments in accordance with the above will ensure your child’s place for the following period.

• Payment will be required even when your child does not attend nursery to ensure their place remains open.

• If payment is not made regularly we reserve the right to cancel your child’s place at the nursery.

• A minimum of two sessions need to be booked.

• Places will be allocated strictly on a first come first served basis.

• Whilst every effort is taken to offer the sessions required, if the sessions requested are not available your child’s name can be placed on a waiting list if requested.

Additional Support

To enable us to ensure we have the appropriate staff in place please could you let us know if you believe that your child, for any reason, may require additional support within the setting Yes [ ] No [ ]

Previous Nursery

Please fill in this section only if your child has attended another nursery school prior to registering with us:

NAME OF PREVIOUS NURSERY

CONTACT NAME

ADDRESS

TELEPHONE NUMBER

Has your child received funding whilst attending the nursery stated above?

Yes [ ] No [ ]

Wrap around care

Will your child attend any other nursery or be cared for by a childminder whilst attending the nursery:

No [ ] Nursery [ ] Childminder [ ]

Having been given approval from the above person, please provide their details: ................................................................................................................................................

Please provide us with a telephone number and contact name of whom we should contact regarding this registration form

Name

Telephone Number

Email Address

PLEASE CAN YOU PROVIDE A COPY OF YOUR CHILD’S BIRTH CERTIFCATE

Meadows Nursery School

ADDITIONAL INFORMATION FORMS

Parent/Carer’s Information

Child’s Name

Child’s Date of Birth

PARENT/CARER 1 PARENT/CARER 2

RELATIONSHIP TO CHILD

RELATIONSHIP TO CHILD

NAME

NAME

ADDRESS

ADDRESS [ ] tick if the same as parent/carer 1

HOME TELEPHONE NUMBER

HOME TELEPHONE NUMBER [ ] tick if the same as parent/carer 1

MOBILE TELEPHONE NUMBER

MOBILE TELEPHONE NUMBER

WORK TELEPHONE NUMBER

WORK TELEPHONE NUMBER

EMAIL *

EMAIL *

* We would like an email address to allow us to make correspondence easier

Which parent/carer is allowed contact with the child? Parent/carer 1 [ ] Parent carer 2 [ ] (This includes permission to collect your child)

[ ] Both

Which parent is the main contact Parent/carer 1 [ ] Parent carer 2 [ ] [ ] Both

Is there anybody else that lives in the home other than the parent/carers stated above? Please tick all relevant. Grandmother [ ] Grandfather [ ] Uncle [ ]

Lodger/tenant [ ] Student [ ] Brother [ ]

Sister [ ] Family friend [ ]

Boy/girl friend [ ]

Other please state: ......................................................................................................................

These ‘Additional Information’

forms are to be completed and

returned as soon as possible or at

the latest when your child attends

their first session. Thank you.

Emergency contacts and people allowed to collect your child

Who are we able to contact in an emergency? Who is able to collect your child? These should be different to the parent/carer information provided above: FIRST CONTACT

NAME

RELATIONSHIP TO CHILD

HOME TELEPHONE NUMBER

MOBILE TELEPHONE NUMBER

WORK TELEPHONE NUMBER

Can be contacted in: an emergency [ ] Can collect from nursery [ ] Both[ ] SECOND CONTACT

NAME

RELATIONSHIP TO CHILD

HOME TELEPHONE NUMBER

MOBILE TELEPHONE NUMBER

WORK TELEPHONE NUMBER

Can be contacted in: an emergency [ ] Can collect from nursery [ ] Both [ ] THIRD CONTACT

NAME

RELATIONSHIP TO CHILD

HOME TELEPHONE NUMBER

MOBILE TELEPHONE NUMBER

WORK TELEPHONE NUMBER

Can be contacted in: an emergency [ ] Can collect from nursery [ ] Both [ ]

Allergies and Preferences Does your child have any allergies? If so, please state

Does your child have any skin or hair conditions? If so, please state

Does your child have any food preferences? If so, please state

Is there any food that your child should not eat? This may be for religious reasons. If so, please state

Are there any specific religious festivals/activities you do not wish your child to take part in? If so, please state

Does your child have a specific sleep pattern you would like us to follow or have any sleep preferences? i.e. the use of a dummy. If so, please state

At what feeding stage is your child? (liquidised, mashed, uses spoon, uses knife and fork)

Medical Are there any medical conditions that you feel we should be made aware of? If so, please state

Has your child be immunised against: (please tick the relevant immunisations)

Diphtheria [ ] Yes [ ] No Whooping cough[ ] Yes [ ] No Tetanus [ ] Yes [ ] No Polio [ ] Yes [ ] No MMR [ ] Yes [ ] No Has your child had the HIB injection[ ] Yes [ ] No Meningitis [ ] Yes [ ] No Please provide your child’s Health Visitor information:

HEALTH VISITOR’S NAME

TELEPHONE NUMBER

Please provide your child’s doctors information:

DOCTOR’S NAME

SURGERY NAME

DOCTOR’S SURGERY ADDRESS

DOCTOR’S SURGERY TELEPHONE NUMBER

Emergency Treatment I/we consent to my child receiving emergency hospital treatment should it be considered necessary and to a member of nursery staff signing the consent form if I am/we are unable to be contacted. Signature of parent/carer: ....................................................................................

I sign on behalf of the parent/carers stated above Date:.................................

Additional Support Does your child have any known ‘additional needs,’ i.e. diagnosed with autism, a physical disability or a behavioural or emotional difficulty that will require specific care and support?

Does your child have any speech, vision or hearing problems? If’ yes’ what support do they need?

Permissions FIRST AID If your child was to have an injury/illness, are you happy for us to administer emergency first?

Yes [ ] No [ ]

SUNCREAM During the summer when it is hot, it is out policy to apply sun cream. Do you agree that we can apply our own, factor 50 sun cream, which is appropriate for sensitive skins?

Yes [ ] No [ ]

If not, you will need to supply your child with their own named sun cream bottle. If yes, you will be automatically charged £2.00 each year on your summer terms invoice to cover the cost of the cream. SUDOCREM: If your child wears nappies, are you happy for us to apply sudocrem (if supplied) when required?

Yes [ ] No [ ] NOT APPLICABLE [ ]

PHOTOGRAPHS: We are always looking at ways to promote the wonderful work of the children. Are you happy for us to take photographs/video record your child for use in:

Please tick Please tick

Newspapers Nursery website

Nursery displays Production of DVD’s, i.e. Our Christmas Nativity DVD

Professional photography

PLEASE NOTE: Photographs taken by our professional photographer will be available to view and purchase on a secure website. Photographs will be taken of your child for their learning journeys evidencing their development, however these will be for your viewing only.

FACEBOOK: So that we can keep parents up-to-date with events happening in the nursery, our future events and provide you with pictures of the children engaging in learning situations, we have a facebook account. Access to the facebook page is only allowed for parents who have children attending the nursery and no children’s names will be used on the site.

Are you happy for your child to appear on our facebook account?

Yes [ ] No [ ] We welcome you to look at our facebook page once your child has started with us. It is called: Nursery Chatter Signature of parent/carer: ................................................................................. I sign in agreement to allowing photographs to be taken in the areas ticked

SPECIALIST TEACHER

The role of the specialist teacher and other outside ‘advisory specialists’ is to assist and advise staff at the nursery and support them with children in our care. From time to time, we may wish to talk to a specialist teacher about your child and ask for your permission to do so. Whenever this occurs you will be informed and feedback given. I give permission for discussions to take place between a specialist teacher and the nursery school teachers: Signature of parent/carer: ..............................................................Date: ................................... I sign on behalf of the parent/carers stated above

Our Online Learning Journey Information

At the Meadows there is a statutory requirement for us to record and monitor your child’s

progress, however, we like to ensure that this process doesn’t get in the way of actually

interacting and playing with your child.

To ensure that we can record your child’s development we use a system called eyLog, which

allows staff to capture a photo, a video clip or a voice recording as well as written notes through a

tablet computer. These observations from staff members are then uploaded to a secure web-

based learning journey to which you as a parent will also have access to and opportunities to add

to, allowing this to be a two-way process!

We believe that using online learning journeys will allow both a rich body of evidence to support

our partnership with parents and to help us plan for your child’s individual development, and of

course act as a wonderful keepsake for you to share with your child.

We understand that you will rightly have questions about the security of such an online system.

There is no need to worry. To begin with, the tablets that are used to record the observations are

supplied with a custom “firmware” in which all applications, except for eyLog, have been removed.

This ensures that the tablets cannot be misused - for example, it is not possible to access

Facebook or websites or to send any e-mail messages from the tablets. As soon as an

observation has been recorded and uploaded to the eyLog server, it is automatically deleted from

the tablet. The data is also encrypted. The only people who can access your child’s learning

journey are the relevant nursery staff (manager, room leaders, key person) and you, the child’s

parent/guardian.

In our opinion, the application not only permits a richer learning journey than its paper equivalent,

but also offers a more secure way to record and share these learning journeys.

The eyLog website (https://eylog.co.uk) has more information as well as a list of FAQs. Please

have a look to find out more about this exciting development.

Once you have signed in your child’s registration pack to give us permission to provide

you with this unique online learning journey, you will receive an email, which gives you

instructions on how to access it.

You will then be able to access your child’s learning journey online via the website or you

will be able to download an app, via the app store on you mobile phone, to allow easy

access via your mobile.

OUR ONLINE LEARNING JOURNEY

eyLog registration and Consent

Child’s Name: ......................................................................................

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

I have read the information about the eyLog system provided on the separate sheet provided and

understand that by signing this consent form I will receive an email message and will be able to log in and

see observations of my child. These observations may include photographs, video clips or audio

recordings.

I hereby give consent for my child to be photographed/videoed for record- keeping purposes and for the

use of Early Years Professionals at Meadows Nursery School.

I understand that there may be group photographs/videos that incorporate images of my child and other

children and teachers. I agree that these photographs/videos may be used in other children’s learning

journeys. To protect and respect privacy, I agree not to use/upload/share the photographs, videos and

audio recordings involving other children on public web-sites such as social media websites and may not

utilise information from my child’s learning journey for purposes other than understanding the

development of my child.

The Meadows Nursery School’s policy on photographs/videos covers this in more detail which I can access

in the Policies Folder located in the main foyer.

I agree that my child’s observations, learning journey, reports and other documents created through

eyLog can be stored on eyLog’s systems. I agree to log in using only the personal log-in provided to me.

Although we have email address, can I ask that you to confirm your email address again so that we can

ensure that the system is up-to-date for this process and for the invoicing/correspondence.

Name of parent guardian: ..............................................................................

Signature of parent guardian: ..............................................................................

Meadows Enrichment Curriculum

Our exciting enrichment curriculum helps to support and develop children’s well-being and physical development. This curriculum is aimed at our pre-school children and consists of various 6 weekly programmes that children follow in the year before they start school. The enrichment curriculum develops:

• Relationships and social skills

• Maintains health and weight

• Contributes to brain development and learning

• Improved sleep

• Develops muscles and bones

• Encourages movement and co-ordination

• Supports the Early Years Foundation Stage curriculum The enrichment curriculum is for our pre-school children and is based around:

Physical Activity

Program Balanceability Shining Stars Dance

Drumming

Sessions

Tennis

Increasing their

heart rate and

keeping them

physically active in a

fun way is the key to

maintaining body

weight and

understanding how

to care for our

bodies.

Development of your

child’s physical skills,

social skills, balance and

control whilst improving

their awareness of

safety. This is a

nationally recognised

program and when at

school will be offered at

the next level:

‘bikeability’.

An outside dance

choreographer will teach

fun, action and movement

dance sessions supporting

physical movement, co-

ordination, control and

rhythm.

An outside drummer

will lead sessions

that promote syllable

work, rhythm and

rhyme, alliteration

and phonological

awareness

A level 3 tennis coach will be leading tennis sessions at the nursery – improving core skills and encouraging life-long participation in exercise.

All children involved will take part in these 5 activity programs, which will be in termly blocks. The

children will have time out of their nursery session, where they will take place in these programs within a

focused, small group, gaining maximum input. These will always take place as part of their nursery

sessions and be supported by nursery teachers.

This yearly run of activities will be charged at £10, three times a year (termly) and will be added to your

bill. A charge of £10 will be automatically placed onto your account in October, February and May.

This equates to 63p per week for all these activities.

We will be using the car park area for some of the activities, therefore groups will be kept small with a

high staff to child ratio. Please sign below to confirm that your child has permission to use this outside

facility.

If you have any questions please do feel free to speak to us.

I can confirm that I give permission for my child to participate in the enrichment activities and I

understand that some of these will be taking part the nursery car park. YES / NO

Signed: ………………………………………………………………………………. Parent/ guardian

Policy Declaration

Safeguarding Policy

at the Meadows Nursery School

We have provided you with the safeguarding policy that we would like you to read. This is a small

version of the policy and a larger copy can be viewed in our policies folder located in the entrance hall of

the nursery school.

Once you have read the policy you are required to sign the ‘declaration’ section following all of the

policies.

Page 1

Page 2

Page 3

A larger copy of the policies can be located and read in the

parents corner within the nursery entrance.

Page 4

Page 5

Page 6

Page 8

Page 9

Page 1

Page 2

Page 4

Page 5

Page 1

Page 2

Page 3

Page 4

Page 5

I have read the following policies and understand them. I have read and understand the sharing of information policy and I have asked any questions that I have relating to the policies:

• Safeguarding policy

• Complaints policy

• Data protection policy Signature of parent/carer: ....................................................................................

I sign on behalf of the parent/carers stated above Date:.................................

ANY OTHER COMMENTS:

Research

Where did you hear about the Meadows Nursery School? Please tick: Word of mouth/recommendation [ ] The nursery web-site [ ] Internet search [ ] Advertisement [ ] where: .......................................................................... Other (please state): ............................................................................................................................

Declaration I am happy with all the information provided and believe it to be correct to the best of my knowledge. I understand that it is my duty to inform Meadows Nursery school of any changes to the information asked for and provided above and that I accept that I need to give a 4 week notice period of any changes to sessions or upon leaving the nursery school.

Parent/Carer signature: ................................................................. Thank you for completing this registration form, the information will be transferred/updated on to our

central system.

The Meadows Team

PLEASE NOTE: If you have not done so to date, could you please provide the nursery with a copy of your child’s birth certificate. This aids us later when

applying for your child’s funding.

Home-links We recognise parents/cares as the child’s first educators and love to hear of any achievements that they are making at home. To enable us to tailor a learning environment that meets your child’s initial needs we ask if you can spend some time answering the following questions which relate to the Early Years Foundation Stage:

PERSONAL, SOCIAL AND EMOTIONAL DEVELOPMENT:

❖ Does your child take pleasure in learning new skills? Please give any examples

❖ Is your child able to make choices? Please give any examples

❖ How does your child express their feelings? Please give any examples

❖ Does your child easily form relationships with others? Please give any examples

COMMUNICATION AND LANGUAGE:

❖ At what level is your child’s speech development? (babbles, uses single words, joins two words together, uses sentences). Please give any examples

❖ Does your child have any special sounds/words or gestures to indicate their needs? Please give any

examples

❖ Is your child able to respond to simple requests? Please give any examples

❖ Does your child show interest in stories, songs and rhymes? Please give any examples

PHYSICAL SKILLS:

❖ What is your child’s mobility skills like? Are they aware of the space/others around them? ❖ Is your child able to handle and use small tools? (rattles, cutlery, pencils, cups, paintbrushes etc).

Please give any examples

MATHEMATICS:

❖ Does your child have an awareness of number names through action rhymes or the counting of objects? Please give any examples

❖ Does your child sort and match a variety of objects? ❖ Is your child interested in attempting to complete jigsaw puzzles/shape sorters? Please give any

examples

UNDERSTANDING THE WORLD:

❖ Does your child enjoy exploring the environment? Please give any examples

❖ Does your child enjoy simple mechanisms? (buttons, switches, dials etc) Please give any examples

❖ Does your child understand routines where they are developing a sequence of actions with daily routines, i.e. washing hands before eating. Please give any examples

EXPRESSIVE ARTS AND DESIGN:

❖ Does your child respond to what they see, hear, touch and feel? Please give any examples

❖ Does your child enjoy exploring textures through ‘messy’ play? Please give any examples

❖ Does your child move to music, listen to or join in with rhymes and songs? Please give any examples

❖ Does your child begin to make believe through role-play? Please give any examples

LITERACY:

❖ Does your child show interest in stories, songs and rhymes? Please give any examples

❖ Does your child ‘say’ key words from books they enjoy? Please give any examples

❖ Does your child say what the marks they make me ❖ Are they starting to say their ‘sounds’ or recognise/say letters from the alphabet?

ANY SPECIFIC LIKES/DISLIKES WITHIN PLAY: (i.e. prefers not to play with messy play or enjoys trains etc.)