The Blossom Path Creche - Where Every Little One Blossoms

Section A: Child Information

Child's Full Name *

Date of Birth *

Gender *

Nationality *

Primary Language(s) Spoken at Home *

Child's Home Address *

Postcode *

Special Interests or Hobbies

Toilet Training Status

Toilet Training Details

Sleep Schedule/Nap Preferences

Section B: Primary Parent/Guardian Information

Full Name *

Relationship to Child *

Email Address *

Mobile Number *

Address (if different from child)

Section C: Secondary Parent/Guardian (if applicable)

Full Name

Relationship to Child

Email Address

Mobile Number

Address

Section D: Emergency Contacts

Emergency Contact 1 *

Name *

Phone Number *

Relationship to Parent *

Emergency Contact 2

Name

Phone Number

Relationship to Parent

Section E: Medical Information

General Practitioner (GP) Details *

GP Name *

GP Phone Number *

GP Address *

Immunizations are up to date *

Child has known allergies

Medical Conditions or Additional Needs:

Child is on regular medication

Dietary Requirements:

Section F: Collection Information

Important: Only individuals listed here will be allowed to pick up your child. We will not release a child to an unauthorized person.

Names of People Authorized to Collect Your Child *

Please provide full names exactly as they appear on identification. We may request ID verification for security purposes.

Section G: Attendance/Session Information

Preferred Start Date *

Preferred Session *

Section H: Permissions

Please review and tick the boxes to indicate your consent for various routine care activities and emergency actions.

I give permission for first aid to be administered if necessary

I give permission for my child to be taken on short, local walks

I give permission for staff to change my child's nappies/clothes

I give permission for my child to be photographed for internal documentation

I consent to photos being used on the creche communication platforms

I give permission for staff to seek emergency medical advice if I cannot be reached

I understand that in case of illness, I must collect my child promptly

Section I: Safeguarding & Data Privacy

We are committed to keeping your child safe and your data secure. Please read and confirm your understanding and consent.

I confirm that the information provided is accurate and complete *

I understand the crèche has safeguarding and confidentiality procedures *

I consent to my child's data being securely stored and used in accordance with GDPR *

Section J: Payment Terms & Fees Agreement

Fees & Payment Policy

• Minimum attendance: 8 hours per day
• Fees: £6/hour, payable weekly or monthly in advance
• Due date: Fees are payable on the first day of the week or month, as agreed
• Payment methods: Bank Transfer or Cash (receipt provided)
• Late payment: Payments made more than 5 working days late may incur a £20 plus fee
• Overtime charges: If a child is not collected at the agreed pick-up time, an additional fee of £6/hour will apply
• Absences: Fees are payable even during a child's absence, unless otherwise agreed
• Notice period: 4 weeks' written notice is required for withdrawal or any change in attendance schedule
• Registration fee/deposit: A one-off registration fee or deposit may be required upon placement
• Fee review: Fees are subject to periodic review; parents/guardians will be notified in advance of any changes

I have read and agree to the payment terms above *

I understand my obligation to stay up to date with fees *

Section K: Parent/Guardian Declaration

Confirm your agreement to our policies and your responsibility to keep information up to date.

I agree to adhere to the crèche's policies and procedures and will notify staff of any changes to the information provided *

Name of Parent/Guardian (Declaration) *

Additional Information

Previous Childcare Experience:

How did you hear about us?

Additional details (if other, please specify):

Any other information you'd like us to know about your child or family:

By submitting this application, you confirm that all information provided is accurate and you agree to our policies and procedures. We'll contact you within 24 hours to discuss next steps.

Crèche Registration & Enrollment Form

Two Ways to Apply