NEW WORLD MONTESSORI NURSERY SCHOOLS

Registration Form

Child's Name ............................................................

Date of birth ............................................................

Mother's full name ............................................................

Father's full name ............................................................

Home address and telephone ............................................................

Emergency contacts. ............................................................

Name and telephone number ............................................................

Special instructions - (allergies, foods, disabilities etc.) ............................................................

Name of carer authorised to collect child ............................................................

Name and address of person responsible for payment of fees ............................................................

Do you wish to pay fees by standing order? (please tick). ............................................................

Nursery sessions required initially: (Please delete sessions not required).
Saint Barnabas Millennium church hall.
Mornings: Monday/Tuesday/Wednesday/Thursday/Friday.
Afternoon: Monday/Tuesday/Wednesday/Thursday/Friday.

Brentham club.
Mornings: Monday/Tuesday/Wednesday/Thursday/Friday.

Previous school/playgroup ............................................................

We wish our son/daughter to enter the Nursery at the beginning of the:
Autumn/Spring/Summer Term 200...

Please Note: A full term's notice in writing is required before a child is withdrawn from
the Nursery, otherwise full term's fees will be charged. The fees for each term are due
on or before the first day of each term.

Please supply two passport size photographs of your child

A Registration fee of £30 is charged to secure your child a place (non-refundable, non-deductible).

Please send this together with the completed registration form and the signed Parents
Partnership Agreement as soon as possible to:
Allied Sainif House, 412, Greenford Road, Greenford, Middx, UB6 9AH

Please make cheques payable to NEW WORLD MONTESSORI NURSERY SCHOOLS.

On receipt of your registration form and fee, the school will contact you to arrange
a session for you and your child to attend a morning sessions as an introduction to the Nursery.

Signature of Mother/Guardian ............................................................

Signature of Father/Guardian ............................................................

Date ............................................................