| Childs Details &
Contact Information
Full name
Date of birth
Religion
Ethnicity
Language
Address
Telephone number
Email Address
Parent/Carer Details inc. Contact
Information
Name
Mobile Number
Place of work
Telephone Number at Work
Session Requirements
Sessions required
Start date
Doctors Details
Name
Health Visitors Name
Surgery Name & Address
Surgery Telephone Number
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Iimmunisations Details
Tetanus, Diphtheria, Whooping Cough,
Polio, HIB, MMR plus any others.
Relevant medical history
(e.g. asthma, allergies, sight or hearing difficulties, injuries,
etc.)
Photographs
Of Parents/Carers and /or Persons Authorised To Collect Your
Child From Nursery.
Parental Consents
A variety of options require your consent before proceeding
Alternative Contacts
Activity Agreement
Calpol Administering Information
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