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Online Application Form
Your Name
Your Email
Subject
General
Planned start date
Timings applied for
6:45am - 8am Early Timings
8am to 12:00pm Core Timings
8am to 2:00pm school Timings
8am to 3:30pm Afternoon Timings
8am to 5pm Twilight Timings
8am to 6pm Late Timings
Days applied for
All days
Sunday
Monday
Tuesday Wednesday Thursday
Other combination of 2 or 3 days
Uniform?
Summer
Winter
Parent / Guardian Details
Parent 1 Full Name
*
Emergency Contact Full Name
*
Title
*
Mr
Ms.
Mrs.
Prof.
Dr.
Emirates ID / Passport Number
*
Upload copy of passport / Emirates ID
*
Mobile Number
*
Work Number
*
Email
*
Physical Address
Company
Country of Birth
Parent 2 Full Name
*
Emergency Contact Full Name
*
Title
*
Mr
Ms.
Mrs.
Prof.
Dr.
Emirates ID / Passport Number
*
Upload copy of passport / Emirates ID
*
Relationship to Child
*
Mobile Number
*
Work Number
*
Email
*
Physical address
Company
Country of Birth
Collector Details
Name
*
Mobile Number
*
ID Number
*
Relationship
*
Child Details
Child’s Full Name
*
Getting to know your child
(Name child is called at home, Name of previous nursery attended, Child’s likes and dislikes)
Date of Birth
Nationality
Birth Certificate
Primary language spoken at home
Emirates ID / Passport Number
How many siblings does your child have?
0
1
2
3+
Important Information
Health Conditions
Allergies / Food preferences / Dietary Requirements / Medical Precautions
periods of hospitalization
Regular Medication taken
Learning Difficulties
Sight Impairment
Speech Impairment
Occupational Therapy Dates
Behaviour Difficulties
Hearing Impairment
Special Needs + therapy
Kidney Disease Severity + Medication
Anaemia Severity + Medication
Heart Disease Severity + Medication
Epilepsy Severity + Medication
Asthma Severity + Medication
Eczema Severity + Medication
Diabetes Severity + Medication
Periods of contagious diseases
List periods of chronic disease
Other issues
Immunizations
Polio
Chicken Pox
Diphtheria
Measles
Mumps
Rubella
Tetanus
Immunization Chart
Does your child take regular medication?
Yes
No
If Yes, please describe
Emergency information
My child’s doctor’s name is
My child’s clinic health center is
My child’s clinic or health center’s phone number is
Medical Insurance Name (child)
Medical Insurance Number
Medical Insurance Card Start Date
Medical Insurance Card End Date
Permissions and Authorization
I give permission to Falcon British Nursery for the following
*
Providing first aid, arranging an ambulance. I consent to the above medication listed below to be administered by the clinic nurse Paracetamol Syrup (fever/pain), Arnica Gel (bruising), Fenistil / MEBO / Calamine(itching / allergy / burns), Eucalyptus (stomach), Betadine(cuts,grazes), Oral glucose(hypoglycaemia).We always attempt to phone prior to administering medicine.
Participating in Voluntary Islamic Classes,
Caring for Animals, Participating in Summer Splash Sessions,
Participating in Cookery, Participating in Growing food, Participating in Science experiments,Participating in afternoon extra cuticular Netball / ball skills / football, Languages-French / Arabic, Karate / Jiu Jujutsu,Drama/ Theatre/Dancing // hip hop / disco / Zumba etc, Participating in Sports classes,Participating in Class Birthday Parties Participating in Concerts and events
Aware of child photos, info and important school events and dates will be sent to the phone number you have registered onthis form on the parent app. Aware that the school doctor will come termly to do health screening and dates will be on the Gazette parent app. Consenting to dentist and ophthalmology visit. Understanding I will provide the items needed for personal care as well as a change of clothes. Understanding I will label all items belonging to my child.
Using the smart board / tablet for stories / music / experiments / theme based and instructional video / pictures, watching end of term movies on the big screen with popcorn (popcorn is broken into small pieces for children under 2 years old)
Consenting to your child on social media, Consenting to your child being featured on our on blog / website
I have read and agreed to
*
The Fees and Refund policy – hard copy to be signed and available on parent app, The photograph and video policy – available on parent app, Safeguarding Policy – available on parent app, Complaints Policy – available on parent app, The home school agreement – available on parent app, Illness and Exclusion Policy – available on parent app, Inclusion and Equality Policy – available on parent app, Admission and Registration Policy – available on parent app, Missing Child Policy – available on parent app, Behaviour Policy – available on parent app, Food and Nutrition Policy – available on parent app, Patient’s Rights and Responsibilities – available on parent app, Sun care Policy - available on parent app, Accidents Policy - available on parent app, Allergy Policy - available on parent app, Immunization Policy - available on parent app, Sleep Policy - available on parent app, Fire and Emergency Policy – available on parent app
I am aware that for acute symptoms including allergy and asthma, bringing prescription and other medicines and vitamins on premises require the administer medication consent form to be completed and signed by parents and the school nurse before medicine is given.
I undertake to complete this registration form with accurate information and attach all documentation. I will provide updated documentation and information as it changes. I undertake to pay all outstanding term and supplemental fees prior to the start of the term. I understand that late fees may be changed for staying after the time paid for as per the fees and refund policy. I understand the terms and conditions,the policies and procedures and the home school agreement and will abide by them. I understand that fees cover term fees for the term as per the school calendar and includes public holidays, ADEK directed closures, government directed closures, Ramadan directed early closure, 25 th December and the 1st day of the academic year closures as well as twice a year staff team building early afternoon closure. This document constitutes a contract between parent and nursery. All requests for change to this agreement needs to be by email.
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