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Registration Form
1
Child Details
2
Parental Responsibility
3
Parent Details
4
Second Parent Details
5
Significant Others
6
Significant Other 2
7
Significant Other 3
Welcome to the Bee Active Childcare registration form.
We know that filling out a registration form can seem like a lot of work, but it's an essential part of ensuring that we can provide the best possible care for your child. The information that you provide will help us to ensure that we have all the necessary information to keep your child safe and healthy while they're in our care.
To complete the registration form, you'll need to provide detailed information about your child, including their health and medication details, GP information, safeguarding and welfare information, and information about their development to date.
In addition, we also need information about you, the parents or guardians, who will be responsible for your child while in our care. This includes detailed information about those with parental responsibility, including their full names, contact details, and any relevant court orders that are in effect. We also need to know the relationship between parents and any subsequent access or care arrangements that we need to be aware of.
Furthermore, we require information about any significant other adults involved in the care of the child, such as relatives or family friends, who may need to pick up or drop off your child from our setting.
We understand that some of the information we're requesting may be sensitive or personal, and we want to assure you that we take the privacy and confidentiality of our families very seriously. All information provided on this form will be kept strictly confidential and will only be used for the purpose of providing care for your child.
All of this information is necessary to ensure the safety and wellbeing of your child while they are in our care. We take data protection and confidentiality seriously and will only use this information for the purposes of providing high-quality childcare services to your child.
If you have any questions or concerns, please do not hesitate to contact us.
Childs Name
*
First
Middle
Last
Gender
*
Male
Female
Childs Date of Birth
*
Day
Month
Year
Number of weeks gestation at birth:
*
Nationality
*
Language
*
Religion
Ethnicity
*
Please upload a copy of the child's Birth Certificate
*
Max. file size: 10 MB.
Is the child adopted?
Yes
No
Does the child have any siblings?
Yes
No
Please give details of siblings
Sibling Name
Gender
DOB
Full / Half / Step?
Has Regular Contact?
Add
Remove
Does the child have any known allergies?
Yes
No
Please give details
Does the child have any dietary needs?
Yes
No
Please give details
Does the child have any medical conditions?
Yes
No
Please give details
Does the child take any regular medication?
Yes
No
Please give details
GP Name
GP Contact Number
NHS Number
GP Address
Address line 1
Address Line 2
City
County
Postcode
Does the child have any known special educational needs or disabilities?
Yes
No
Please give details
Please upload any supporting documents
Drop files here or
Select files
Max. file size: 20 MB.
Has your child undergone or is in the process of undergoing any form of assessment about their development?
Yes
No
Please give details
Do you have any concerns about your child’s development in the following areas of learning?
Select any that apply
Communication and language
Physical development
Personal, social and emotional development
Please give details
Are there any safeguarding arrangements or information that we should know about this child?
Yes
No
Please give details
Are there any other agencies or services involved with the child or family?
Yes
No
Please give details
Please give details of any key contacts
Service Name
Person Name
Role
Email
Phone
Add
Remove
Has the child received any other childcare services from other providers such as day nurseries, childminders etc previously?
Yes
No
Please give details
Will the child be receiving any regular childcare services from any other provider whilst they are in our care?
Yes
No
Please give details
I consent for this information to be updated onto the Famly App
Yes
Parent Relationship Status
What is the relationship between the child’s First and Second Parent?
Cohabitants / Partners
Married
Civil Partnership
Separated
Divorced
Rather not Say
Married parents
If the parents of a child are married when the child is born, or if they’ve jointly adopted a child, both have parental responsibility. They both keep parental responsibility if they later divorce.
Same-sex partners
Both parents will have parental responsibility if they were civil partners at the time of the treatment, eg donor insemination or fertility treatment.
Complete ‘Parent details (with Parental Responsibility)’ section for both parents, along with the optional ‘Significant others without Parental Responsibility’ section for all caregivers in the child's life or household without parental responsibility
Unmarried parents
An unmarried father can get parental responsibility for his child in 1 of 3 ways:
• jointly registering the birth of the child with the mother (from 1 December 2003)
• getting a parental responsibility agreement with the mother
• getting a parental responsibility order from a court
Same sex partners in a non-civil partnership
For same-sex partners who are not civil partners, the other parent should can get parental responsibility by either:
• applying for parental responsibility if a parental agreement was made
• becoming a civil partner of the other parent and making a parental responsibility agreement or jointly registering the birth
Do both Parents have parental responsibility?
Yes
No
In the next section complete ‘Parent details (with Parental Responsibility)’ sections for both parents, along with the optional ‘Significant others without Parental Responsibility’ section for all caregivers in the child's life or household without parental responsibility
In the next section complete ‘Parent details (with Parental Responsibility)’ along with the optional ‘Significant others without Parental Responsibility’ section for all caregivers in the child's life or household without parental responsibility
Is there a parenting plan, consent order or court order in place regarding child arrangements that we need to be aware of?
Yes
No
Please give details
Optional supporting documents
Drop files here or
Select files
Max. file size: 20 MB.
First Parent (with parental responsibility)
This is usually the child’s mother, father with sole parental responsibility or the parent with whom parental responsibility is granted in a same sex non civil-partnership.
Full Name
Title
Dr
Miss
Mr
Mrs
Ms
Prof.
Rev.
First
Middle
Last
First Parent Date of Birth
*
This is required for funding purposes
Day
Month
Year
First Parent NI Number
*
This is required for funding purposes
Relationship to Child
Gender
Male
Female
Email Address
*
Phone Number
Ethnicity
Religion
Home Address
Address line 1
Address Line 2
City
County
Postcode
Does the child live at this address?
Yes
Part Time
Please give details on pattern of residency at this address
Occupation
Current Place of Work
Consent to process personal information and add to the Famly App?
Please note, personal information such as your email, phone number and address will be visible to other contacts on your child’s profile by default, if this is a concern for you please speak to a member of our team.
Yes
No
Second Parent (with parental responsibility)
This is usually the child’s father or other parent in a same sex civil partnership.
Full Name
Title
Dr
Miss
Mr
Mrs
Ms
Prof.
Rev.
First
Middle
Last
Second Parent Date of Birth
*
This is required for funding purposes
Day
Month
Year
Second Parent NI Number
*
This is required for funding purposes
Relationship to Child
Gender
Male
Female
Email Address
*
Phone Number
Ethnicity
Religion
Home Address
Address line 1
Address Line 2
City
County
Postcode
Does the child live at this address?
Yes
Part Time
Please give details on pattern of residency at this address
Occupation
Current Place of Work
Consent to process personal information and add to the Famly App?
Please note, personal information such as your email, phone number and address will be visible to other contacts on your child’s profile by default, if this is a concern for you please speak to a member of our team.
Yes
No
Significant Others without Parental Responsibility
Significant others without parental responsibility would be other caregiving adults that are prominent in the child’s life, such as; grandparents, step-parents, older siblings or other extended family members.
It is important that we understand who these people are and their relationship to the child. This information gives us holistic context of the child’s home life when they are away from the setting and helps us to keep them safe.
Would you like to add other adults to your registration?
One Significant Other Adult
Two Significant Other Adults
Three Significant Other Adults
No, Thanks
Significant Other 1
Full Name
Title
Dr
Miss
Mr
Mrs
Ms
Prof.
Rev.
First
Middle
Last
Relationship to Child
Gender
Male
Female
Home Address
Address line 1
Address Line 2
City
County
Postcode
Email Address
*
Phone Number
Collection permission
Yes, this contact can collect the child from the setting at any time.
Yes, this contact can collect the child from the setting but only when a Parent has informed the setting in advance and the pin is provided upon collection.
No, this contact cannot collect the child from the setting
Famly App permission
Yes - full access to all the child's information, can view photos, posts, private messages, invitations and the child’s profile
Yes - restricted access to child’s information, can view photos and posts to the child (recommended for grand parents and other family members)
No - login or access to the Famly app will not be provided for this contact
I acknowledge that the named person has given their consent for Bee Active Childcare to process their personal information
Confirm
Significant Other 2
Full Name
Title
Dr
Miss
Mr
Mrs
Ms
Prof.
Rev.
First
Middle
Last
Relationship to Child
Gender
Male
Female
Home Address
Address line 1
Address Line 2
City
County
Postcode
Email Address
*
Phone Number
Collection permission
Yes, this contact can collect the child from the setting at any time.
Yes, this contact can collect the child from the setting but only when a Parent has informed the setting in advance and the pin is provided upon collection.
No, this contact cannot collect the child from the setting
Famly App permission
Yes - full access to all the child's information, can view photos, posts, private messages, invitations and the child’s profile
Yes - restricted access to child’s information, can view photos and posts to the child (recommended for grand parents and other family members)
No - login or access to the Famly app will not be provided for this contact
I acknowledge that the named person has given their consent for Bee Active Childcare to process their personal information
Confirm
Significant Other 3
Full Name
Title
Dr
Miss
Mr
Mrs
Ms
Prof.
Rev.
First
Middle
Last
Relationship to Child
Gender
Male
Female
Home Address
Address line 1
Address Line 2
City
County
Postcode
Email Address
*
Phone Number
Collection permission
Yes, this contact can collect the child from the setting at any time.
Yes, this contact can collect the child from the setting but only when a Parent has informed the setting in advance and the pin is provided upon collection.
No, this contact cannot collect the child from the setting
Famly App permission
Yes - full access to all the child's information, can view photos, posts, private messages, invitations and the child’s profile
Yes - restricted access to child’s information, can view photos and posts to the child (recommended for grand parents and other family members)
No - login or access to the Famly app will not be provided for this contact
I acknowledge that the named person has given their consent for Bee Active Childcare to process their personal information
Confirm
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