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Family Details Child’s full name Preferred or familiar name Birth Certificate presented Date of birth Parents / Mother carers names Father Others (specify) Parent/carer addresses Please provide names and addresses for each parent and carer known to the nursery (continue on separate sheet if required) Please indicate your child’s usual address Other people allowed to Names and addresses: collect your child Must be over 16 years of age Page 1 of 5 Sunshine Day Care Ltd Childcare Agreement Form 2013.doc Contact Details Telephone Home Mum Work Dad Work Mobiles Email address (for your invoice to be sent to) Password (for collection and to retrieve your invoice) Legal Responsibility and Contact Details Who has Parental Name Responsibility for your child E.g.. AM Session (8:00 – 12:45) Mon Tue Wed Thur Fri PM Session (12:45 – 17:30) Mon Tue Wed Thur Fri Full day (08:00 – 17:30) Mon Tue Wed Thur Fri Extended PM session (17:30 to 17:45/18:00) Mon Tue Wed Thur Fri Nursery lunch required Mon Tue Wed Thur Fri Other Information How did you hear about Sunshine Nursery Please tick appropriate box Flyer Magazine Children’s Info Service NHS Staff Info Website Recommendation Sign outside Other Did you look at any other Why did you choose Sunshine nurseries Important We ask that you keep us informed of any changes to your details..
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