Register ONLINE

    Child’s full name; surname underlined: (wymagane)

    Date of birth:


    Religion (or N/A):

    Language(s) spoken or understood:

    Disability/yes or special access requirements (give details):


    Telephone number:


    Please fix a photo here or email a digital one with child’s name in subject line to

    Any allergies or other medical conditions (give details)?

    Has your Child attended any other settings before?

    If YES, where and how long?

    Has your child any friends or siblings in this nursery already registered?

    Is your Child eligible for 30 hours funding (3 years old). If YES provide a code.

    Is your Child eligible for 15 hours funding (2 years old). If YES provide a code.

    Is immunization schedule up to date?
    YesNo (circle one)
    History of illnesses:

    GP (family doctor) name, address, telephone:

    Child’s health visitor name, address, telephone:

    Toilet requirements:

    Special dietary requirements:

    Do you give permission for your child to go on daily outings?
    YesNo (circle one)
    May we photograph your child when in a group (for internal use only)?
    YesNo (circle one)
    May we give Calpol for high temperature?
    YesNo (circle one)

    Mother Name, DOB, NIN, Mobile, Home Number, Work Number, Work Address, E-Mail

    Father Name, DOB, NIN, Mobile, Home Number, Work Number, Work Address, E-Mail

    Name of person(s) with parental responsibility:

    HK staff / HK student / non-HK (circle one)

    Home address (if different from above):

    Home or mobile telephone or both (if different from above):


    Work address:

    Work telephone:

    Emergency contact(s):


    Relationship to child



    Relationship to child


    Password for pick up by anyone not named above (BLOCK LETTERS PLEASE). This will be kept confidential:

    I give my consent for my child to receive any medical treatment which is urgently necessary.

    Signed (parent/career):


    The Happy Kids – Education Centre has a commitment to safeguarding children and promoting their welfare. Any staffs who suspect that a child in their care is suffering any type of abuse has a duty to report this to Social Services.

    I am aware of and understand the statement above.

    Signed (parent/career):


    Regular users only:
    Regular start date:

    Usage pattern:
    Morning session AM 8.00 - 13.00/15hrsAfternoon session PM 13.00 - 18.00/15hrsAll day session 8.00 - 18.00Morning session AM 8.00 - 14.00/30hrsAfternoon session PM 12.00 - 18.00/30hrs

    What times and days/ session AM-PM/Full day

    you agree Terms & Conditions and Parents Informations

    Any questions? Please contact us on

    01242 230 606, 07884582647, or send an e-mail on

    Our address:

    Happy Kids, Unit6, Manchester Park, Tewkesbury Road, GL51 9EJ Cheltenham,

    Phone: (01242) 230 606

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