Princess Street Pre-School

Registration Form

 

Page 3

Peg Name Done
Apple Name Done
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£30.00 Deposit Paid

Yes
Yes
Yes
Yes
No
No
No
No
For Pre-School Staff only

 

Where does your child usually live and who lives with them

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Name and address of child's doctor.. ...............................................................................................

 

..........................................................................Doctor's telephone number.....................................

 

Names and address of any health professional currently involved with the child e.g. speech therapist

 

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Any further information about the child e.g. allergies, deafness, speech difficulties etc

 

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Please give details of all immunisations and vaccinations to date...........................................

 

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Please indicate preferred days e.g. Mondays and Wednesdays. We require a minimum of two sessions per week

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Do you want your child to join Lunch Club?(Wednesdays and Fridays 12-1pm) If yes, please indicate which days

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Where did you hear about Princess Street Pre-School? ..........................................................