GroWild Kindergarten Registration Form

Please only complete this form if you have been asked to do so by a member of GroWild Kindergarten staff.

Please complete this form in full. If you have any queries please email katie@kidsgrowild.co.uk.

We may contact you if we require further information about anything you have included in this form.

Child's details
Child's name *
Child's name
Child's DOB *
Child's DOB
Child's address *
Child's address
Parent/ Carer
Parent's/ Carer's name(s) *
Parent's/ Carer's name(s)
Parent's/ Carer's address (if different to child's)
Parent's/ Carer's address (if different to child's)
Contact phone number *
Contact phone number
Emergency Contact Information
Emergency contact (1) *
Emergency contact (1)
Emergency number (1) *
Emergency number (1)
Emergency contact (2) *
Emergency contact (2)
Emergency contact (2) *
Emergency contact (2)
Medical Information
Doctor's address *
Doctor's address
Doctor's phone number *
Doctor's phone number
Please provide us with any medical information, including medication. If medication requires administration additional permissions will be sought.
Please select from the following
Additional needs
Please include any information about disabilities, learning difficulties, physical needs. This information is required to ensure we can meet the needs of all children in our care.
Consents and Agreements
If in the circumstance I cannot collect my child on time I will contact GroWild immediately (please refer to collection policy).
Please ensure you have read GroWild's intimate care policy
This includes contact details, medical information, additional needs
Extra Information
Starting date *
Starting date
Please provide the date agreed with GroWild Kindergarten