Registration Form

Child's Full Name

Parent/Carer Name

Address

Date of Birth

Phone

Please inform us of any additional information that we may benefit from knowing whilst your child is in our care. (Include any medical information/allergies in this section.)

If you would like us to contact you to arrange to produce a ‘one page profile’ to highlight any additional needs please tick this box.

Alternative/Emergency Contact Name

Address

Relationship to Child

Phone

I give permission for my child to:

Be provided with juice

Be provided with biscuits

Be photographed for use in JCL social media and other promotional material

Be transported in line with our Safeguarding Policy

Does your child need assistance with using the toilet? (Tick for Yes)

Is your child wearing nappies? (Tick for Yes)

Please check this box to consent to your data being stored in line with our Privacy Policy. We'll never share your personal information and you can opt out of our communications at any time.Privacy Policy

Registration Form

Thanks for submitting!