Waiting list

I want to register my child on the waiting list of (**):

Les Petites Etoiles TUFNELL PARK, Crayford Road, N7 0NDLes Petites Etoiles Montessori CROUCH HILL, 33 Crouch Hill, N4 4APLes Petites Etoiles Montessori WEST HAMPSTEAD, 107 Fordwych Road, NW2 3TL

(**) You can only register your child on one waiting list at a time. If you like a registration on different waiting lists, you have to repeat the process.

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This form must be completed by a person with parental responsibility. Parents are responsible for ensuring that all information on the form is correct.

Your Name

I have parental responsibility for the child named bellow, and I will be responsible for paying the fees.
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YOUR CHILD

First name of child

Family name of child

BoyGirlNot yet known

Date of birth

Requested admission date

Requested number of days per week

2 days3 days4 days5 days

special request (optional)

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BILINGUAL PROGRAMME

I am choosing the bilingual programme (these places are offered first). See parent policy booklet for full-details.I am choosing the English-only free-place programme (only for children aged 3 years old and older - these places are only offered if they are not taken by children from the previous age group as they get older, and after the bilingual places are offered so are rarely available as younger children)
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WHEN CAN MY CHILD START AT LES PETITES ETOILES

I understand that:
During the school year - September to August - Les Petites Etoiles Crouch Hill welcomes children who are at least 6 month-old in September.
During the school year - September to August - Les Petites Etoiles West Hampstead welcomes children who are at least 6 month-old in September.
During the school year - September to August - Les Petites Etoiles Tufnell Park welcomes children who are at least 10 month-old in September.
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PARENT / CARER 1

First name

Family name

Parental responsibility yesno

Telephone (mobile)

Telephone (home)

Telephone (work)

Email

Address

Does the child live at this address? yesno

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PARENT / CARER 2

First name

Family name

Parental responsibility yesno

Telephone (mobile)

Telephone (home)

Telephone (work)

Email

Address (if different than Parent / carer 1 's address)

Does the child live at this address? yesno

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Languages spoken at home to your child or in front of your child:

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EMPLOYER / COLLEGE DETAILS

Parent 1 - occupation

Parent 1 - Name and address of Employer / College

Parent 2 - occupation

Parent 2 - Name and address of Employer / College

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How did you hear about us?

Did you visit any other nurseries?

Why did you choose us?

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EMERGENCY TREATMENT CONSENT

In events of a medical emergency we will endeavour to contact you as parents/carer/guardian and named emergency contacts. If this proves not possible and your child needs emergency medical treatment a member of staff will accompany your child to hospital if necessary. We must therefore have your permission in this respect.

I hereby give consent for my/our child to receive emergency medical treatment as appropriate in the event of a medical emergency.

Please state below any medical procedures you would not wish your child to have (e.g.
blood transfusion).

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PRIVACY POLICY

I have read and agree to the terms of the Privacy Policy

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