JavaScript Menu, DHTML Menu Powered By Milonic
Kids Play Childcare BOOK NOW Holiday Clubs. Click here for details!
     
   
 
 
 



 
 
Click here to download your registration pack
 
 
 
   
Win a Family ticket
 
PLAY 4 FREE Click here for more details
Welcome to Kids Play Childcare
Holiday Club

OFSTED requires a Childcare booking should be fully registered.
Please answer all the details below.

Click here to open and save a printable copy of our Registration Form or if you would prefer, click the PDF icon and download a printable copy.

Registration Form

Please tick the centre required:
Tickford Park Milton Keynes
Leighton Buzzard Youth Club
Long Meadow School Milton Keynes Kids Play Bury St Edmunds
Portfields Combined School Milton Keynes Kids Play Kettering
Willen Primary School Milton Keynes  

Parents/Guardian Details
Title:
First Name:
Last Name:
Email:
Marital Status:
Ethnic Group:
Religion:
Home Address:


Postcode:
Telephone Number:
 inc. STD
Mobile No:
Employers Name Address:



Postcode:
Work Telephone:
 inc. STD
G.P.’s Name:
Surgery Name:
Surgery Address:


Postcode:
Surgery Telephone:
 inc. STD

Child/Children’s Details:
Child 1
Childs First Name:
Childs Last Name:
Childs Date of Birth:
 DD/MM/YY
Gender:
Childs Address if different from Parent/Guardian

(Please just tick if the address of the Child is the same as the Parent/Guardian)



Same as Parent/Guardian
Childs School:
School Address:


School Tel:
 inc. STD
Childs Ethnic Group:
First Language:
Other:
Special Requirements:
(e.g access, dietary)


Any Illnesses or Allergies:


Medication (if any):



If you are only registering 1 child please click here to move to the next section
Child 2
Childs First Name:
Childs Last Name:
Childs Date of Birth:
 DD/MM/YY
Gender:
Childs Address if different from Parent/Guardian

(Please just tick if the address of the Child is the same as the Parent/Guardian)



Same as Parent/Guardian
Childs School:
School Address:


School Tel:
 inc. STD
Childs Ethnic Group:
First Language:
Other:
Special Requirements:
(e.g access, dietary)


Any Illnesses or Allergies:


Medication (if any):



If you are only registering 2 children please click here to move to the next section
Child 3
Childs First Name:
Childs Last Name:
Childs Date of Birth:
 DD/MM/YY
Gender:
Childs Address if different from Parent/Guardian

(Please just tick if the address of the Child is the same as the Parent/Guardian)



Same as Parent/Guardian
Childs School:
School Address:


School Tel:
 inc. STD
Childs Ethnic Group:
First Language:
Other:
Special Requirements:
(e.g access, dietary)


Any Illnesses or Allergies:


Medication (if any):



Emergency Contact 1
Full Name:
Address:


Postcode:
Home Tel:
 inc. STD
Mobile:
Work Tel:
 inc. STD
Relationship to Child:

Emergency Contact 2
Full Name:
Address:


Postcode:
Home Tel:
 inc. STD
Mobile:
Work Tel:
 inc. STD
Relationship to Child:

Emergency Contact 3
Full Name:
Address:


Postcode:
Home Tel:
 inc. STD
Mobile:
Work Tel:
 inc. STD
Relationship to Child:

People authorised to collect child/children
Name:
Telephone:
 inc. STD
Relationship to Child:
Name:
Telephone:
 inc. STD
Relationship to Child:
Name:
Telephone:
 inc. STD
Relationship to Child:

Permission Form:
Emergency Medical Attention:
 I hereby give my consent for
(childs/childrens full name) to receive emergency medical or first aid treatment in the event that I cannot be contacted and/or to be taken to the nearest hospital, for necessary emergency treatment in the event I cannot be contacted.

Signed:
Date: DD/MM/YY
The names and date you inserted above have been duplicated below.
Please delete as required.
Activities and Outings:
 I hereby give my consent for
(childs/childrens full name) to go on outings and participate in activities organised by Kids Play. This includes permission for the use of transport in vehicles such as people carriers and mini-buses.

Signed:
Date: DD/MM/YY
Photographs:
 I hereby give my consent for
(childs/childrens full name) to be photographed for display purposes within Kids Play.

Signed:
Date: DD/MM/YY
Plasters:
 I hereby give my consent for
(childs/childrens full name) if necessary.

Signed:
Date: DD/MM/YY
Sun Cream:
 I hereby give my consent for sun cream to be applied to
(childs/childrens full name) if necessary.

Signed:
Date: DD/MM/YY

I/We parents of
Child 1 DOB DD/MM/YY
Child 2 DOB DD/MM/YY
Child 3 DOB DD/MM/YY
Residing at:
 
Signed:
Date:
 DD/MM/YY

Please tick to confirm you have read Kids Play Childcare terms and conditions. If you have not read them please click here



Registered Office: Kids Play Limited. Station Hill, Bury St. Edmunds, Suffolk IP32 6AD.
Telephone: Tel: 01284 763799 Email: sharonelliott@kidsplaychildcare.co.uk
 Sitemap