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Blessings Nurseries

 

Boutique
Preschool Services


Registration Form



OR (Download the Printable Form Here)

 
 

Blessings’ Registration Form:
You need to fill all the columns below accurately for completing the registration form:
Note: The Online Registration form will be saved with us and We will attach it to your application documents upon your visit to the Blessings’ office.
INFORMATION ABOUT YOUR CHILD
FIRST NAME MIDDLE NAME FAMILY NAME
DATE OF BIRTH NATIONALITY* SEX (M/F)
RELIGION* PLEASE STATE WHICH LANGUAGES ARE SPOKEN AT HOME
PASSPORT NUMBER PASSPORT EXPIRY DATE UAE VISA NUMBER
HAS YOUR CHILD ATTENDED NURSERY BEFORE? IF "YES", WHICH NURSERY DID HE ATTEND?
INFORMATION ABOUT YOU
NAME OF MOTHER NAME OF FATHER HOME ADDRESS
MOTHER'S MOBILE NUMBER FATHER'S MOBILE NUMBER
MOTHER'S WORK NUMBER FATHER'S WORK NUMBER
MOTHER'S E-MAIL ADDRESS FATHER'S E-MAIL ADDRESS
NOTES
* Nationality should match that written on the child's passport.
*Information about your child's religion is required by the Ministry.
FEE SCHEDULE INFORMATION
Please tick the correct options. If you have any questions, please ask the Nursery Manager/ Admissions Officer and refer to the "Fee Schedule Document" which accompanies this form.
DROP OFF TIME PICK UP TIME DAYS PROGRAMME
7:30am8:00am2:00am 1:00pm3:30pm6:00pm
IF THE NURSERY WAS OPEN ON SATURDAYS, HOW MANY TIMES IN AN AVERAGE MONTH WOULD YOU USE THE SERVICE?
EMERGENCY CONTACT INFORMATION
PLEASE PROVIDE THE NAMES OF TWO PERSONS KNOWN TO THE CHILD WHOM THE NURSERY CAN CALL IF IT CANNOT MAKE CONTACT WITH AT LEAST ONE PARENT.
FULL NAME OF CONTACT TELEPHONE NUMBER(S) RELATIONSHIP TO CHILD
FULL NAME OF CONTACT TELEPHONE NUMBER(S) RELATIONSHIP TO CHILD
AUTHORISED PERSONS
PLEASE MAKE US AWARE OF ANY PERSONS NOT ALREADY NAMED ON THIS FORM WHO ARE PERMITTED BY YOU TO COLLECT YOUR CHILD. SUCH PERSONS MUST SHOW IDENTIFICATION AND THE NURSERY WILL CONTACT THE PARENTS IN ANY CASE BEFORE HANDING YOUR CHILD OVER.
FULL NAME TELEPHONE NUMBER(S) RELATIONSHIP TO CHILD
FULL NAME TELEPHONE NUMBER(S) RELATIONSHIP TO CHILD
PLEASE CONTINUE ON A SEPARATE SHEET IF NECESSARY.
SPECIAL EDUCATIONAL NEEDS
DOES YOUR CHILD HAVE ANY SPECIAL EDUCATIONAL NEEDS? PLEASE TELL US ABOUT THEM HERE.INCLUDE INFORMATION OF ANY SPECIFIC SUPPORT THAT HE/SHE REQUIRES.
OFFICIAL COMMENTS
This section will be used by the Nursery Manager/ Admissions Officer to record any other important information concerning your child's needs and welfare, or special requirements you may have.
DECLARATION
Fees, once paid, are non-refundable and non-transferable, as set out clearly in the fees schedule document. Fees must be paid in full before the first day of nursery school. My child's registration at Little Hands Kids Club is subject to evaluation and re-evaluation by the nursery if required. I will accept all decisions of the nursery and I understand that the nursery has the right to cancel my child's admission if he/she is unsuitable for the school. I agree to all the terms and conditions set forth in the registration documents. The management has the right to alter both the fees and the curriculum from time to time as required. The decision of the management is final. The Nursery, its management and all its staff shall have no responsibility whatsoever for any child prior to the delivery of that child into the custody of nursery officials, or after the child has been collected by the parents or other persons authorised on this form. Collection of children after the agreed time is subject to a financial penalty, set forth in the fee schedule, and payable immediately.
I agree to inform the nursery of any illness, especially an illness that could be transferred to others, for example: contagious diseases or illnesses.
I agree that photgraphs of my child may be used in nursery brochures and other advertising media, on display boards within the nursery and in online publications for the Nursery.
Notwithstanding the provisions outlined in the registration documents, in the event of an emergency appropriate senior staff of the nursery will have full authority to take all necessary action to ensure that medical treatment is administered and situations are dealt with to preserve the health and safety of children and staff.
I agree to hold blameless all staff of the nursery, including its directors, owners and managers, fully and effectively indemnified against all actions, claims, liabilities, death or injury, accidents, damages, expenses, costs, charges, fees (including medical and legal fees) suffered as a result of or in consequence of any incident,injury, condition, virus or disease contracted by my child while in the care of the nursery, whether on site or off site (on field trips etc.) as the Nursery is deemed to follow the standard policies and practices outlined in the Nursery Policy Manual.
I agree to indemnify and keep indemnified the Nursery in respect of any loss or damage caused by me or my child to property belonging to or in custody of the Nursery or my child.
The nursery is covered by Public Liability Insurance.
I/ we have read and understood the contents of this form and understand that all requested documents, records and forms are part of the admissions process. If the nursery requests documentation which is not delivered to the Nursery within a reasonable time, then admission is subject to immediate cancellation.
I/ we, the undersigned, certify that each part of the application and information requested or submitted with the application forms has been carefully read and understood and is true and correct. I/ we undertake to abide by the terms and conditions set out by the Nursery.
FATHER'S SIGNATURE MOTHER'S SIGNATURE
DATE DATE