Visions Children's Centre - Child Only Registration Form

Child registration Only

Please complete the online form to register a child, where Parent(s) are already registered with the Children's Centre.

Or download a copy to complete at home here

This form must be completed by the parent/carer who has parental responsibility for the child shown.

If you would like any help filling in the form then please speak to a member of staff from the Children's Centre.

Please read our GDPR information here

Child Only Registration Form:

This section is about you - THE MAIN CARER: Title

Full legal name

Gender

Date of Birth

Relationship to Child

Marital Status

Address

Postcode

Home Telephone

Mobile

Email address

Country of Birth e.g. UK

Ethnicity e.g. White/British

Current employment

INFORMATION ABOUT THE CHILD: Legal First Name(s)

Legal Surname

Child's Date of Birth

Child's Gender

Location of Birth

Does this child have any diagnosed disabilities/specific needs? NO/YES (Please specify):

Ethnicity e.g. White/British or Other (please specify):

Does this child attend a Nursery setting/Child minder/School?

If YES, please state the nate of setting/Child minder/school:

PLEASE AGREE/DISAGREE WITH THE STATEMENTS: 1. I consent to my family's details being held on The Children's Centres database.

2. You will automatically be added to the Children's Centre Parent Mail system, this will let you book onto courses and receive information on groups/activities and services that may be of interest to you and your family

3. I give permission for photographic images to be taken of me and my child.

If yes, please answer permissions for the following medias: The Children's Centre promotional displays throughout Rutland

The Children's Centre promotional marketing e.g. newspapers and leaflets

The Children's Centre Website/Visions Children's Centre Facebook page

The Children's Centre receives live birth data on a monthly basis from Leicestershire and Rutland trust but we need consent to register (the children) with The Children's Centre.

Should you have any subsequent children while living in Rutland, do you consent to us automatically registering the child? Consent can be withdrawn at any time by contacting familyhub@rutland.gov.uk

Child registration Only

Child Only Registration Form:

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Child registration Only

Child Only Registration Form:

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