1. KISH Nursery registration
Name of child:
Date of birth:
Male / female
Nationality:
Religion:
Siblings:
Age of siblings:
Address:
Parents:
NAME:
HOME NO:
MOBILE:
WORK:
1st Parent
2nd Parent
3rd Contact
MEDICAL HISTORY:
KNOWN ALLERGIES:
DOCTOR’s NAME & NUMBER:
CHILD’S LIKES & DISLIKES:
MY CHILD HAS PREVIOUSLY ATTENDED A SETTING: YES / NO
NAME OF SETTING:
PREFERRED STARTING DATE AT KISH NURSERY:
PREFERRED DAYS:
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
Therefore we apply for apply for a place for our daughter / son ……………………………………......
At KISH Nursery. Additionally we agree to the terms and conditions of KISH Nursery.
DATE:…………………………………………….. SIGNATURE OF PARENT(s):………………………………………………………