Registration Form for Tansor Early Years CIO

Child's first name: *

Child's surname: *

D.O.B: *

Age:

Preferred name:

Describe Gender:

Child's gender: *

Male

Female

Prefer to self-describe

Is your child currently attending a nursery/childminder?:

Yes

Child’s Current Early Years Setting:

Address:

Post code:

Language(s) spoken:

Is English your child's first language?:

Primary contact first name: *

Surname: *

Relationship:

Address: *

High Gables, Main Street, Upper Benefield
PE8 5AN

Contact number: *

Work number:

Email address: *

Occupation:

Are there any other contact restrictions?:

Yes

Details:

Please call work number during hours of 9am-1pm

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:

High Gables, Main Street, Upper Benefield
PE8 5AN

Mobile number:

Work number:

Contact No.2 name:

Relationship:

Address:

Bakers Dozen
13 Little Green
Warmington
Peterborough
PE8 6TS

Mobile number:

Work number:

Contact no.3 name:

Relationship:

Address:

8 Chancel Terrace 
Barnwell
Peterborough
PE8 5PY

Mobile number:

Work Number:

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

Lilias Boyd - Grandma 07757748351             password - Gunner
Kate Hardy - Grandma  07491962406          password - Gunner

Allergic reactions - Severity: *

Not Applicable

Very high

High

Medium

Low

Allergies, if any:

Medical conditions, if any:

Does your child have any dietary requirements?:

Yes

Special needs:

Does your child have any special educational needs (SEN)?:

Yes

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

NA

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

Separation anxiety

Religion:

Christian

Muslim

Buddhist

Jewish

Sikh

Hindu

None

Prefer not to say

Others - please state

Other Religion:

Two Year old progress check - children aged 24-36 months: If your child is aged between 24-36 months, has a 2 year old progress check already been completed for your child? YES OR NO

YES 06/07/26

As per the requirement of the EYFS we will complete a progress check on your child between the ages of 24-36 months. We will ask you to be involved in completing the check and will discuss it with you.:

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

Any other instructions :

Early registration is recommended. Registrations will be considered in the order in which they are received. 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: www.tansorearlyyears.co.uk

Please send a copy of the child’s passport or birth certificate to confirm their details and a utility bill or statement to confirm your address. These attachments can be sent to tansorearlyyears@gmail.com quoting the child's name and the registration reference number that you will receive when you submit the application.

Declaration :

I accept the terms and conditions of Tansor Early Years CIO and agree that the information provided on this form are accurate and I will notify Tansor Early Years CIO of any changes as they arise.

Yes No

Full Name of Parent/Carer:

Digital Signature

Harriet

Date & time:

08, Jul 2026 03:27 pm

Tansor Early Years CIO

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