Registration Form To register your child at the school please complete the web form below. Step 1 of 7 14% Child's Name* First Last Name to be used at the school* Gender* Male Female Date of birth* DD slash MM slash YYYY Address* Street Address City Postcode Phone*Place in family*(age of other children if under 21) Nationality* Language If English is not your child’s first language please tell us their first languageEthnicity* Religion* Mother's detailsMother's Name* First Last Mother's address (if different from above) Street Address City Postcode Phone*Mother's occupation* Business address* Street Address City Postcode Business phone* Father's detailsFather's Name* First Last Father's address (if different from above) Street Address City Postcode Phone*Father's occupation* Business address* Street Address City Postcode Business phone* CommunicationsName of parent/guardian to whom communications should be addressed* Email address* Enter Email Confirm Email Who has legal responsibility for the child being registered?* Name of any other carers (e.g. nanny) PhoneName and telephone number of person willing to accept child in an emergency* (if parent/guardian can not be contacted)Please inform us of any distinguishing marks your child has, i.e birthmarks Medical informationRecord of infectious diseases*Record of immunisation*Please give dates of all vaccines given in case of an emergencyRecord of other illnesses/allergies*Name of child's doctor* Doctor's address* Street Address City Postcode Doctor's phone*Medical Emergency Consent*I give my permission for the school to seek any necessary emergency medical advice for my child or to administer First Aid including applying plasters or dressings. I consent to the school seeking any necessary emergency medical advice or administering First AidMedical Emergency Consent*We also require permission to accompany your child to hospital without parental presence in the case of an emergency, we will of course contact you as soon as an incident takes place and inform you of the situation to enable you to reach us as soon as possible. I consent to my child being accompanied to hospital without parental presence in the case of an emergencyPlease supply the name of your child’s health visitor* Tick the box if your child has had a two year old check (please supply a copy if possible.)* My child has had a two year check My child has NOT had a two year check Preferred starting date* DD slash MM slash YYYY Number of preferred mornings/afternoonsMonday* DAY NOT REQUIRED Breakfast Club Morning Lunch Lunch and Science Afternoon Tuesday* DAY NOT REQUIRED Breakfast Club Morning Lunch Lunch & Drama Afternoon Wednesday* DAY NOT REQUIRED Breakfast Club Morning Lunch Lunch & Music Afternoon Thursday* DAY NOT REQUIRED Breakfast Club Morning Lunch Lunch & Yoga Afternoon Friday* DAY NOT REQUIRED Breakfast Club Morning Lunch Other information Further information/permissionIncident forms*Any significant accident or injury which occurs outside of school hours needs to be recorded in an incident form when your child returns to school, please tick the box to confirm you are willing to complete this form if necessary. I give permission I do not give permission Norfolk County Council Early Years Advisor*On occasions we may have our Early Years advisor from Norfolk County Council visiting the school, we take this opportunity to discuss a variety of subjects some of which may involve your child. We always inform parents of any discussions which we feel are relevant to their child’s progress at the school. Please tick the box to acknowledge you have read this information and you are happy for any conversation to take place. I give permission I do not give permission Suncream*I give my permission for the staff at The Norwich Montessori School to apply suncream to mychild when applicable. Please tick the box. I give permission I do not give permission Photographs* I give permission I do not give permission I give my permission for the staff at The Norwich Montessori School to photograph my child for any Montessori/EYFS related activities, no pictures will be placed on the internet or given to the press without express permission by the parent/carer. Please tick the box. Any photographs I take of my child which feature another child/children while at the school, particularly on school visits or during celebrations will not be posted on social media websites or placed on the internet.Accessing the garden area outside of opening hours*I understand as a parent/carer that The Norwich Montessori School Ltd is not responsible for my child when they play on school equipment or in the school grounds before or after their allocated session. Please tick the box. I give permission I do not give permission Confirmation of registration*I wish my child to be entered for the above school. I am willing to co-operate fully with staff. I understand that all fees are payable in advance and that a full term’s notice in writing is necessary in order to withdraw my child, otherwise I am liable for a fee of £500. When the registration form has been completed The Norwich Montessori School will contact you via an email with bank details for the registration fee of £175 to secure the application (this fee is not refundable). I agree CAPTCHA
