HomeAbout Us Environment Sessions Areas Of Learning Our Staff Terms Time Tables & CostsPoliciesParentsRegisterContact REGISTER Register your child Child Name Date Of Birth & Gender MM slash DD slash YYYY Start Date MM slash DD slash YYYY Last name GenderGenderMaleFemaleUnknownDoes the child have siblings in Wickham Church of England Primary School? Yes No Parent 1 (Bill Payer)TitleMrMsMrsMissDrRelationship & EmailRelationship to childMotherFatherGrandparentSisterBrotherAuntUncleCarerFamily friendFoster carerGuardianTelephone First name Email Home Last name Confirm email Work Address Town County Post Code Parent 2 Relationship & EmailRelationship to ChildMotherFatherGrandparentSisterBrotherAuntUncleCarerFamily friendFoster carerGuardianTelephone First name Email Home Last name Confirm email Work Address Town County Post Code Do you feel your child may require additional support within the setting? (This includes medical or special educational needs) Yes No If you answered yes, please add further detail:Monday Early Morning Afternoon Late Tuesday Early Morning Afternoon Late Wednesday Early Morning Afternoon Late Thursday Early Morning Afternoon Late Friday Early Morning Afternoon Late Consent AgreementBy clicking "Submit" you agree to us electronically recording and storing this information. All information is secure using encryption technology. The completion of your child's registration form is not a guarantee of your childcare place at the nursery as this is subject to availability.
