NEW WORLD MONTESSORI NURSERY SCHOOLS

Registration Form

Child's Name ............................................................

Date of birth ............................................................

Mother's full name ............................................................

Father's full name ............................................................

Home address and telephone ............................................................

Emergency contacts. ............................................................

Name and telephone number ............................................................

Special instructions - (allergies, foods, disabilities etc.) ............................................................

Name of carer authorised to collect child ............................................................

Name and address of person responsible for payment of fees ............................................................

Nursery sessions required initially: (Please delete sessions not required).
Saint Barnabas Millennium church hall.
Mornings: Monday/Tuesday/Wednesday/Thursday/Friday.
Afternoon: Monday/Tuesday/Wednesday/Thursday/Friday.

St. Peters
Mornings: Monday/Tuesday/Wednesday/Thursday/Friday.

Previous school/playgroup ............................................................

We wish our son/daughter to enter the Nursery at the beginning of the:
Autumn/Spring/Summer Term

Please Note: A full term's notice in writing is required before a child is withdrawn from
the Nursery, otherwise full term's fees will be charged. The fees for each term are due
on or before the first day of each term.

 

 

 

 

 

Signature of Mother/Guardian ............................................................

Signature of Father/Guardian ............................................................

Date ............................................................

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