Pre-School registration

This form is used to provide us with detailed information, once you have been offered a place. If you haven't yet applied for a place, please use our application form instead.

Please provide the registration details below

    About your child

    Date of Birth
    (For an adult we don't recognise)

    Parent / Carer Details

    First Parent / Carer

    Lives at the child's home address?
    Home address and postcode

    Second Parent / Carer

    Lives at the child's home address?
    Home address and postcode
    Who has legal Parental responsibility? Please see the official definition of parental responsibility to ensure you have answered this correctly.

    Other Significant Contacts

    Use this section to tell us about other adults who may act on your behalf if needed.

    First Adult

    Can they collect your child? Can they take parental decisions in an emergency?

    Second Adult

    Can they collect your child? Can they take parental decisions in an emergency?

    Third Adult

    Can they collect your child? Can they take parental decisions in an emergency?
    If you wish to add any more adults, please do so using the additional information section at the end of the form.


    Address Telephone

    Health Questions

    Can we give your child first aid / emergency medical treatment?

    You have told us that we may not administer first aid in any circumstances. We will need to discuss your wishes further before we finalise your registration, to enusre we are able to care for your child properly.

    Does your child have any non food allergies?

    Does your child have any illness or condition we must manage in order to care for them properly?

    Is your child on any long term medication?

    Does your child have any special needs?

    Please provide us a description of your child's situation, including symptoms, severity and treatment as appropriate. If you feel this space is not suitable or appropriate to the situation, please let us know below and we will arrange an appropriate discussion.


    Does your child have any food allergies?

    Is your child a vegetarian?

    Does your child have any special dietary requirements?

    Please provide more information about any questions you have answered yes to, and add any other dietary notes you wish us to take account of.

    Even if you do not expect your child to eat whilst at Teatimers, we will always be preparing food whilst they are in the building. It is important we know anything relevant about food related matters and allergies.


    Can we take photos of your child for internal use?
    Photos are a great record when your child has done something special.
    Can we display these photos around the site?
    Generally this means putting up photos around Teatimers where other families and prospective parents will see them. If we wanted to use them for a wider purpose, we would ask for your specific permission.
    Can we use these photos on our facebook page?
    (our facebook page is restricted to Teatimers families only)
    Can we take your child on local trips on foot?
    This means things like a walk to a nearby park on a nice day, a nature walk or a trip to post a letter. It applies mostly to Holiday club.
    Are there any specific named adults who may not have access to your children?
    (If so, we will contact you separately to work out appropriate arrangements
    Can Teatimers and Bucks CC check your funding eligibility using systems provided by the government?
    It is necessary to record and input limited personal information onto a government website (name, eligibility code and NI number) in order to check eligibility for additional funding. It will only happen if you claim for 30 hour funding.

    Any further comments regarding permissions?

    Languages Spoken


    For local authority audit purposes, please choose the appropriate ethnicity code for your child.

    Additional information

    Please tell us anything relevant about your child that will help us to care for them. For example - things that will upset them and calm them down - favourite activities - Accident prone / tendency to run off


    Signed Date

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    Preschool spaces available