Registration Form for Kidsize

Primary contact first name: *

Surname: *

Relationship:

Address: *

The clubhousr

Contact number: *

Work number:

Email address: *

Occupation:

Secondary contact first name:

Surname:

Relationship:

Address:

Contact number:

Work number:

Email address:

Occupation:

Custody of the child is with:

Primary contact

Secondary contact

Both (joint custody)

Other

Contact no.1 name: *

Relationship: *

Address:

43 deerpark walk

Mobile number: *

Work number:

Contact No.2 name:

Relationship:

Address:

59 Gairn crescent

Mobile number:

Work number:

I, hereby consent and grant permission to the following persons to collect my child (Must be 18 years or over): *

Me grandma

Pick up Password:

Allergies, if any:

Allergic reactions - Severity: *

Not Applicable

Very high

High

Medium

Low

Medical conditions, if any:

Does your child have any dietary requirements?:

Yes

Dietary Requirements:

Does your child have any additional support needs (ASN)?:

Yes

Additional Support Needs:

If your child has any learning difficulties/disabilities or requires additional assistance, please list them here:

Vaccinations: Detail vaccinations here *

None

Childhood Illnesses:

Any other relevant information we may need to be aware of ?:

Any involvement from external agences:

Other Religion:

Toileting: Please provide your own nappies, wipes, nappy bags and nappy cream (if applicable). Please ensure you put your childs name on the cream. Please share with staff if your child is beginning to potty train, Kidsize staff will support children with this with sticker charts and visual aids. *

Toilet

Tick to give your consent to the following:

My child’s nappy being changed by Kidsize staff

Kidsize staff changing my child if they require it to be changed. (Eg unexpected toileting accident, messy clothing from activity or outdoor play)

Kidsize staff to enter the bathroom whilst my child is inside if required

To assist my child during toileting

What do I enjoy eating?: Likes, dislikes and what your child's usual food routine is at home. Please note down the child's level of independence and support you provide at mealtimes *

Food

Is there anything your child has not tried but you are happy for them to try during their time at playgroup?:

What are my interests and favourite games and activities?: *

Game

How do I feel about outdoors?: *

Sun

How do I communicate?: *

Speak

What might I need encouragement on?: *

Learn

What things upset me?: *

Upset

If I were to get upset, what would you say is the best way to comfort me?: *

Comfort

People who are important to me?: *

Me

How do I manage daily tasks?: *

Stuff

Please read our Terms & Conditions View T&C's

Any other instructions :

This form must be signed by the parent(s)/ guardian(s) with parental responsibility; applying for admission of the named child and who it is assumed will be responsible for the fees. For more details, please visit our website: https://www.kidsizeltd.com/playgroup.

Declaration :

I accept the terms and conditions of Kidsize Club Ltd.

Yes No

Full Name of Parent/Carer:

Digital Signature

Jenna millar.

Date & time:

09, Jul 2026 09:24 am

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