Hollins Wood Childcare

Strictly private & confidential

About this form

Time to complete

2 Minutes

1. Child details

Name of child (in full)
Due date
Date of birth

Gender

Male

Female

Non-binary

Address
Ethnicity)
Child's first language)
Proposed start date

2. Parent/carers with whom the child resides and who have parental responsibility

The Early Years Foundation Stage Framework Statutory Requirement, "Safeguarding and Promoting Childrens Welfare" states that childcare providers must obtain "information about who has legal contact with the child and who has parental responsiblity". In Enlish law "Parental Responsiblity" is a legal phrase used to define who has the rights and obligations in making decisions which effect the child's life.

Name of Parent/Carer
Telephone number
Email address
Relationship to child
Parent/carer first language
Additional Notes

3. Sessions required

Please tick your requirements.

From birth to 3 years.

Morning	07:15 - 12:45
Afternoon	12:45 - 18:00
All day	07:15 - 18:00

Pre-school sessions

Term-time

Year-round

Morning	07:15 - 12:30
Afternoon	13:00 - 18:00
All day	08:30 - 18:00

Extras
Breakfast	07:15 - 08:30
Late	16:00 - 18:00