Call: 015394 36354

Online Form

We need some details about your child and family. We have a legal obligation to collect and process this information in accordance with The Early Years Foundation Stage (Welfare Requirements) Regulations 2012 and therefore we do not require your consent for the first section of this form. Where information to be supplied is voluntary or where we do need consent this is identified. The information provided will be kept in paper form and used for the purpose of maintaining appropriate contact details and for the safety and well-being of your child.

Key Information

Please provide the names and contact details of 2 people (other than parents/guardians) who we can contact in case of an emergency. Please ensure these people are happy for us to contact them and to hold their details.
A password system operates in our setting. A secure password is required and will need to be used by emergency contacts and persons authorised to collect your child. Ideally, this should be one word and something that is easily memorable. Please do not use obvious things such as middle names. The password is required from anyone collecting your child. If they do not have the password, we will not release your child to them.
Persons authorised to collect my child - other adults who may collect your child in your absence. Authorised persons must be over the age of 18.
We have the safety and well-being of the children in mind at all times and we are sure that you will appreciate that persons known to you are strangers to us and we do need means of identifying those you have authorised to collect your child (either authorised or emergency contacts) when you are unable to. We as a setting and especially your child/children key person will be familiar with you, but we do not always have the opportunity to meet both parents. This is also true of your nominated emergency contacts and authorised persons. We therefore request that should anyone unknown to us be collecting your child that you inform us in advance and show us a photograph to enable us to identify him or her when they collect your child.
Health Information
Does your child suffer from any of the following (please tick those which apply)(Required)
Safeguarding Children
For Office Use – NB If the child has a child protection plan, make a note here, but do not include details. Ensure these are obtained from the social worker named above and keep these securely in the child’s named Child Protection file.
The following information is voluntary, and you do not have to complete it. However, we have a legitimate interest in requesting this data as it will assist in providing the necessary care for your child and allow us to monitor and assess their development.
Special Educational Needs and Disabilities
Professionals involved with the child:
The following section contains information for which we need your consent. As required by data protection we have a duty to inform you that you can withdraw your consent for any of the permissions detailed below at any time. Should you wish to withdraw consent please discuss this with a member of staff in the first instance.
If emergency treatment is required, either whilst your child is on the premises or on an outing, (for the duration of your child’s time with us) and the parents or legal guardians cannot be reached immediately, your signature in the space provided below empowers the settings management to exercise their own judgement in calling the doctor/dentist indicated above or to transport the child to a hospital casualty department by ambulance. Please read and fill in the declaration below, cross out the statement/wording that does not apply and sign and date this section.
SPECIAL NOTE: Please notify us immediately of any changes to the information provided. Please feel free to come and discuss any problems or concerns with us. If there are any other notes you would like to add, please use the space below.
I/We understand that 4 weeks written notice will be require should I/We decide that we no longer require our child’s place at Nursery and that all fees due will be paid prior to leaving.(Required)
Initially places will be awarded on a first come first served basis. Please tick the days and sessions you require below…
Breakfast (7:45-8:45) - £5.50
Core Session (8:45 – 11:45 AM) - £16.50
Core Session (11:45 – 2:45 PM) - £16.50
Extended Afternoon (2:45 – 3:15) - £2.50
After School Option 1 (3:15 – 4:15) - £5.50
Options 2, including light tea (3:15 – 5:15) - £13.75
Option 3, including light tea (3:15 – 6:00) - £16.50

Contact information:

Hawkshead Forest Nursery, Main St, Hawkshead, Cumbria, LA22 0NT

© Hawkshead Forest Nursery 2024

Illustrations by Sophie Martin

Website designed by Furness Media