| Little
Angels Nursery |
| Child's Full Name |
|
| Sex |
Male
Female |
| Nationality |
|
| Home Address |
|
| Date of Birth |
|
| Mother's Name |
|
| Home Tel |
|
| Mobile |
|
| Occupation |
|
| Work Tel |
|
| Father's Name |
|
| Mobile |
|
| Occupation |
|
| Work Tel |
|
| Email address |
|
| I would like my child to start on day
month
year
|
| My child will attend: |
|
|
Full-Time
3 days (Sun, Tues, Thurs)
2 days (Mon, Wed) |
| General Policies |
|
| Dismissal |
|
| If you wish to have your child dismissed to individuals
other than yourself (grandmother, nanny, uncle etc), then please
list below the names of those individuals: |
| 1. Name
|
Mobile
|
| 2. Name
|
Mobile
|
| The Nursery offers Introduction to Arabic Language
and Islamic Studies.Please indicate your interest: |
|
Is your child currently under medical care? Yes/ No
If Yes,Please explain |
|
Does Your child have any allergies? Yes/No
If Yes,Please explain |
|
| Does Your Child relate well to other children? |
|
| To the best of your knowledge,does your child have
any language problems, or learning disabilities? |
|
| Does your child have any problems that we should be
aware of? please explain |
|
| The Nursery requires that you provide below a secret
PASSWORD which would be used in the event that neither you nor the
individuals listed above are able to pick up your child. In that
event, please call the Nursery with the name of the person picking
up your child and your password. |
| Special Password |
|
| Security Code |
|
|
|
|
