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Home
About Us
Our Curriculum
Employment
Nursery Information
Our Registration Process
Register your Child
Book a Showaround
Our Fees
Meet The Team
Childcare Funding
Healthy Eating
SEND
Our Brochure
FAQs
Book a Showaround
Gallery
Contact Us
Blog
Registration Form
Join the waiting list today
Please fill in the information form below and a member of staff will be in touch
This form may be easier to fill out on a desktop.
A problem was detected in the following Form. Submitting it could result in errors. Please contact the site administrator.
I understand this does NOT guarantee my child's place until confirmed by the Nursery Manager and registration fee is paid (if applicable).
I understand that I MUST pick a minimum of two sessions each week.
Is your child aged 2+?
Yes
No
Please select the type of funding you are eligible for
15 Hours
30 Hours
None
Private Parents: I understand that I am required to pay £75 registration fee by BACS or Cash if I choose not to pay by card on this form. Please contact the nursery for instructions.
Monday:
Full Day (07:30 - 17:30)
Half Day AM (07:30 - 12:30)
Half Day PM (13:00 - 17:30)
Tuesday:
Full Day (07:30 - 17:30)
Half Day AM (07:30 - 12:30)
Half Day PM (13:00 - 17:30)
Wednesday:
Full Day (07:30 - 17:30)
Half Day AM (07:30 - 12:30)
Half Day PM (13:00 - 17:30)
Thursday:
Full Day (07:30 - 17:30)
Half Day AM (07:30 - 12:30)
Half Day PM (13:00 - 17:30)
Friday:
Full Day (07:30 - 17:30)
Half Day AM (07:30 - 12:30)
Half Day PM (13:00 - 17:30)
Registration Fee (£75) - Powered by Stripe Payment Processor
1.5 Would you like the following sessions:
3x Sessions (5hr)
5x Sessions (3hr)
3x Sessions or 5x Sessions
3x Days - 07:30 - 17:30
All Week - 08:00 - 14:00
07:30 - 17:30 - (10hr)
Monday
Tuesday
Wednesday
Friday
AM or PM - 3x Sessions (5hr)
AM
PM
07:30 - 12:30 - AM (Select 3 Days) - 3x Sessions (5hr)
Monday
Tuesday
Wednesday
Thursday
Friday
12:30 - 17:30 PM (Select 3 Days) - 3x Sessions (5hr)
Monday
Wednesday
Friday
AM or PM - 5x Sessions (3hr)
AM
PM
08:00 - 11:00 - AM (Select 5 Days) - 5x Sessions (3hr)
Monday
Tuesday
Wednesday
Thursday
Friday
13:00 - 16:00 - PM (Select 5 Days) - 5x Sessions (3hr)
Monday
Wednesday
Friday
Child's Name
Date of Birth
Gender
Male
Female
Non Binary
Birthplace
Ethnicity
White
Black
Asian
Mixed
Chinese
Other
Nationality
Religion
None / Atheist
Anglicanism
Baptists
Charismatic Renewal
Church of Jesus Christ of Latter-Day Saints
Church of England
Church of Scotland
Christian (Other)
Jehovah’s Witnesses
Methodism
Orthodoxy
Pentecostalism
Quakers (Religious Society of Friends)
Roman Catholicism
Salvation Army
Seventh-Day Adventist Church
Unitarianism
United Reformed Church
Baha’i
Buddhism
Hinduism
Islam
Jainism
Judaism
Paganism
Rastafarian
Scientology
Sikhism
Zoroastrians
First Language
Second Language (If Applicable)
Is your child subject to a Court Order?
Yes
No
If Yes - Please provide a copy.
Address where the child resides
Parent 1 - Name
Relationship to child
Address
Postcode
National Insurance Number
DOB
Mobile Number
Home Number
Work Phone
Occupation
Email
Do you have parental responsibility?
Yes
No
Would you like to receive emails about
Nursery updates and activity days
Special offers and events
None
Parent 2 - Name
Relationship to child
Address
Postcode
National Insurance Number
DOB
Mobile Number
Home Number
Work Phone
Occupation
Email
Do you have parental responsibility?
Yes
No
Would you like to receive emails about
Nursery updates and activity days
Special offers and events
None
Photo of Child
Photo of Parent 1
Photo of Parent 2
Does your child have any siblings?
Yes
No
Names and Ages of Siblings
Name of main person to contact in an emergency
Contact Number
Relationship
In the event of an accident or emergency, I / we give consent for nursery to seek medical advice, attention or treatment as deemed appropriate. This is on the clear understanding that I / we, will be contacted at the earliest opportunity.
Signature
❌
If we are unreachable, the persons named below should be contacted to be informed of the situation:
Secondary Emergency Contact - Name
Contact Number
Relationship
Third Emergency Contact
Contact Number
Relationship
By signing below, you agree that if either parent are unreachable, the persons named listed as emergency contacts should be contacted to be informed of the situation.
Signature
❌
Please provide details of anyone else, who may also be responsible for dropping off or collecting your child.
Please also provide a password that is shared only with the persons below. Please be aware we may be unable to allow them to collect your child, if the correct password is not known. Please sign to demonstrate you understand the role of responsible adults.
Signature
❌
Responsible Adult 1 - Name
Responsible Adult 1 - Phone Number
Responsible Adult 1 - Relationship
Responsible Adult 1 - Password
Responsible Adult 1 - Photo
Responsible Adult 2 - Name
Responsible Adult 2 - Phone Number
Responsible Adult 2 - Relationship
Responsible Adult 2 - Password
Responsible Adult 2 - Photo
Responsible Adult 3 - Name
Responsible Adult 3 - Phone Number
Responsible Adult 3 - Relationship
Responsible Adult 3 - Password
Responsible Adult 3 - Photo
I understand that it is imperative that the information in this section is completed in full and reviewed on a regular basis.
Nursery should be informed immediately, should there be any change to the information detailed below.
Does your child have any known Allergies?
Yes
No
If yes please give details.
Does your child have any diagnosed medical conditions?
Yes
No
If yes please give details.
Does your child need to take any prescribed medication on a regular basis?
Yes
No
If yes please give details.
Please list any special dietary requirements your child may have:
Doctor’s Name
Address and Postcode
Contact Number
Health Visitors Name
Address and Postcode
Contact Number
Support Agencies e.g. portage workers, Speech Therapists etc
Address and Postcode
Contact Number
Was your child born prematurely?
Yes
No
If your child develops a high temperature above 38°C that cannot be lowered by cooling methods, we will make every effort to contact you or your nominated emergency contacts to collect your child from nursery and for you to administer children’s Paracetamol to reduce your child’s temperature. In the event that you are unable to return and you are unable to make arrangements to have your child collected or someone else to administer Paracetamol within a reasonable time, we will accept your verbal permission to administer emergency Paracetamol. Your child must have been in nursery for more than 4 hours and you must confirm that your child has not, in the last 24 hours, taken 4 or more doses of any medication containing Paracetamol. If we are unable to contact you or your emergency contacts, we reserve the right to seek medical advice by calling NHS Direct on 111 or an ambulance. If requested, we will administer the recommended dose for the child’s age of children’s Paracetamol from our own emergency supply. * We use the brand ‘Calpol’ as our form of liquid paracetamol. To enable us to administer this medication we require you to complete the following: I confirm that my child is not allergic to children’s Paracetamol. I give my consent for the nursery to contact NHS Direct or the Ambulance Service if they are unable to contact myself or my nominated emergency contacts to return to nursery to collect my child and administer children’s Paracetamol in a reasonable time when my child’s temperature cannot be reduced below 38°C. I agree to sign the Sudden Illness Assessment form when I collect my child from nursery, to confirm I have been made aware that this medicine has been administered. I understand that the nursery can only give one dose of children’s Paracetamol and that if my child’s temperature rises again or after 45 minutes my child’s temperature has not reduced, I must make arrangements to collect my child or an ambulance will be called.
Date Agreed
Parent Signature
❌
If my child has an unexplained allergic reaction, I understand the nursery will seek immediate advice from either NHS Direct or the Ambulance Service who may advise immediate administration of an Antihistamine. I therefore give my permission for administration of Nursery Antihistamine based on medical advice received.
Date Agreed
Parent Signature
❌
Permission for PLASTERS to be administed
Yes
No
Permission for SUNCREAM to be administed
Yes
No
Permission for ADHESIVE BANDAGES to be administed
Yes
No
Permission for NAPPY CREAM to be administed
Yes
No
Permission for photographs to be used for internal use within my child's nursery
Yes
No
Permission for photographs to be used on the Apple Trees website
Yes
No
Permission for photographs to be used on the Apple Trees social media
Yes
No
Permission for photographs to be used on marketing material such as flyers, banners etc
Yes
No
Your child's favourite stories, songs and rhymes
Favourite Toys and Games
What comforts, soothes or calm my child
Things which can upset, frighten or worry my child
What experience does your child have of playing with other children?
What stage of toilet training is your child at?
Any activities that your child participates in outside of nursery? e.g. swimming
Is there anything you would like us to know or are concerned about?
I acknowledge that by submitting this form that it does not guarantee your child a place at Apple Trees Nursery. Please note the nursery will be in touch to confirm your childs place.
I, Parent 1 confirm that all information provided is correct and I understand that any changes should immediately be updated, I also agree the terms and conditions of the nursery located here: https://appletreesnursery.com/wolverhampton/Registration%20Terms%20and%20Conditions.pdf.
Parent 1 Signature
❌
I, Parent 2 confirm that all information provided is correct and I understand that any changes should immediately be updated, I also agree the terms and conditions of the nursery located here: https://appletreesnursery.com/wolverhampton/Registration%20Terms%20and%20Conditions.pdf.
Parent 2 Signature
❌
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