Please enable JavaScript in your browser to complete this form. - Step 1 of 3Registration FormA normal signature will requested on the first day of your child starting with Chudleigh Pre-School.Child's Full Name (hereafter referred to as 'child' *FirstLastName Known as (if different from above)FirstLastSex: *FemaleMaleThird ChoiceDate of Birth: *1. Name of Parent/s whom the child lives: *2. Name of Parent/s whom the child lives: Does Parent 1 have parental responsibility? *YesNoDoes Parent 2 have parental responsibility?YesNoAddress *Address Line 1Address Line 2CityState / Province / RegionPostal CodeTelephone *Mobile *Email *I give permission for the above email address to be linked to my child's tapestry account so that I have access to my child's learning journal. (If you do not have access to an email we will make arrangements for your to view your child's learning journey at a mutually convenient time.) *YesNoI do not have access to an email account.NextOtherName of Parent whom the child does not live?FirstLastDoes this Parent have parental responsibility?YesNoDoes this Parent have legal access?YesNoAddress of this parent.Address Line 1Address Line 2CityState / Province / RegionPostal CodeTelephoneMobile Emergency Contact DetailsParent 1 - work/daytime contact number *Parent 2 - work/daytime contact numberOther Emergency Contact NameFirstLastRelationship to ChildTelephone NumberMobileOther Emergency Contact NameFirstLastRelationship to ChildTelephone NumberMobileNextAdults authorised to collect the child on a REGULAR basis (eg. Childminders)Contact NameFirstLastRelationship to ChildTelephone NumberMobileContact NameFirstLastRelationship to ChildTelephone NumberMobileChild’s ethnicity, cultural background and religion *Are there any festivals/special occasions celebrated in your culture you would like to see acknowledged and celebrated while s/he is in our setting? *What language(s) is/are spoken at home? *If English is not the main language, is this your child’s first experience of an English-speaking environment? *YesNoNot applicableIs additional support required? (this support can be discussed) *YesNoWhich Primary School do you hope your child will be attending? *I give permission for Chudleigh Pre-school to create an online tapestry journal and monitor my child’s progress in their personal “Learning Journey” incorporating samples of their work. *YesNoI give consent for members of staff undergoing training, to attain nationally recognised qualifications, to assess and observe my child. *YesNoI give permission for my child to go on supervised outings within Chudleigh. *YesNoI confirm that the above information is correct.Signature of Parent/Guardian *Relationship to Child *Date / Time *DateTimePreviousEmailSubmit