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Sunshine Day Care Ltd Childcare Agreement Form 2013.doc
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Childcare Registration and Agreement Form
Please complete this form and return it with the registration fee (£30) and a
refundable deposit of two weeks fees. This form must be completed by someone
who has parental responsibility.
Family Details
Child’s full name
Preferred or familiar name
Date of birth
Birth Certificate
presented?
Mother
Father
Parents /
carers names
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
collect your child?
Must be over 16 years of
age
Names and addresses: