Booking Form – Bright Beginnings Daycare

Child’s Full Name & Address:

DOB:

Gender

Male

Female

Other

If Other Please State:

Does your child have any medical history, if so please state what the illness or problems are:

Has your child received their immunisations?

Yes

If yes please email a copy of their red book vaccinations page to brightbeginningsdaycare23@hotmail.com with the child’s name on the email as reference, f no, please be aware that children that come to daycare can pick up sickness, virus, and that there is an extra risk to them. PARENT, PLEASE SIGN/DATE THAT YOU ARE AWARE OF THE EXTRA RISK:

Does your child have any additional needs? Note: You may be required to complete a separate care plan in respect of your child relating to their additional/special need. If yes, please explain:

Does your child have any allergies?

Yes

If yes please state what the child is allergic to:

If YES what symptoms/reactions does your child take? Do they need any type of medication, for example epi-pen?

Prescribed Medication: Parent must sign and complete a medication form before prescribed medication is administered. Prescribed medication must clearly state the child’s name, dosage, route of administration, date, and expiry date. We can only accept medicine that has the original pharmacy label and is written in the English language. MEDICIAL EMERGENGY: I give consent to my child receiving medical treatment if a doctor thinks it is required as a medical emergency and I cannot be contacted following reasonable attempts (3), to do so prior to such treatment being administrated. In the event of an emergency an ambulance will be called. The parent/guardian will be contacted and informed about the emergency. PARENT SIGN/DATE:

ANTI-FEBRILE MEDICATION The service will only administer ‘Calpol’ (paracetamol) or Nurofen (Ibruprofen) if a child becomes unwell and has a high temperature of 38°C or over. If a child has a high temperature the Parent/Guardian’s will be contacted before staff administer the temperature-reducing medication and they will be asked to collect the child/children. Parent/Guardian’s must send Calpol & Nurofen for their own child/children into the nursery, the bottles will be labelled and kept in a locked medicine cupboard. I give consent to my child receiving Paracetamol or Iburprofen medication if they are feeling unwell or to help bring down their temperature. PARENT/SIGN DATE:

SUN POLICY We ask all parents or guardians to provide their child with a sun hat and sun cream during sunny weather. This will be then labelled and kept in a safe place. We ask all parents to apply their child’s first application of sun-cream before drop off each sunny day. Staff will then re-apply the sun-cream to the child throughout the day. I give consent for my child to have suncream applied by a member of staff. PARENTS SIGN/DATE:

CHANGING/TOILETING/CLOTHING PERMISSION I give permission for my child to have their nappy changed, helped toileting while potty training, help toilet if the child asks (P1 & P2), needs their clothes changed if they get wet or dirty.

I give permission for my child to:

1. To go on local outings around Magherafelt, local shops of interest, post office, park, soft play, Pole-Patrick, other place we feel the children will benefit from

Yes

2. To have their picture/video taking to be used on our social media accounts on Facebook, Instagram, or our website?

Yes

3. To have their photo/video individually or taken in a group shared with parents on the app (taken by tablet, little vista app, camera, phone)

Yes

4. To have their photo/video individually or taken and displayed in the setting (taken by tablet, little vista app, camera, phone)

Yes

5. To be observed by staff for observation and development checks to be carried out? To have their photo/video individually or taken in a group shared with parents on the app (taken by tablet, little vista app, camera, phone)

Yes

PARENT’S INFORMATION

Parent/Guardian (1):

Relationship to the child:

Parent/Guardian’s address, email & phone number:

PARENT’S INFORMATION

Parent/Guardian (2):

Relationship to the child:

Parent/Guardian’s address, email & phone number:

AUTHORISED COLLECTORS/EMERGENCY CONTACTS – I authorise the following people to collect my child in the event of my absences. I acknowledge unless I have spoken to the manager/deputy manager my child cannot be collected by any other person if they are not on this list. NOTE: ID will be asked by people collecting children if it is not the normal person who collects. The person collecting must be over 18years old.

AUTHORISED COLLECTORS/EMERGENCY CONTACTS (1): Name:

Relationship to the child:

AUTHORISED COLLECTORS/EMERGENCY CONTACTS address, email & phone number:

AUTHORISED COLLECTORS/EMERGENCY CONTACTS (2): Name:

Relationship to the child:

AUTHORISED COLLECTORS/EMERGENCY CONTACTS address, email & phone number:

PEOPLE NOT AUTHORISED TO COLLECT MY CHILD

NAME OF UNAUTHORISED (1):

Relationship to the child:

Address, email & phone number (if you know it)

Other things to know:

Our setting uses CCTV for the safety of the children and staff.

We are a NUT FREE ZONE due to allergies we have in the building.

Our child watch tv, Netflix, Disney, consoles (older kids) for wind down times.

Our children will get treats on special occasions, for example Christmas or some parent’s/guardians bring in birthday cakes (NOTE: Food Allergies will be taken into consideration.)

We use a professional marketing company for our website (SM Marketing) and social media accounts (Night owl studios) who will have selected photos/videos sent to them.

Our Little Vista App that we use has personal information of our children, parents/guardians, and staff. (THE APP IS NOT FOR ADHOC/HOLIDAY BOOKINGS)

Staff in the rooms do not pick up messages sent directly to them, please send messages to management on the app, or call 02879580156 (nursery phone), 07831957662 (shared nursery mobile). Phone calls and messages are not picked up after 6pm Monday – Friday or over the weekends.

CHILD PROTECTION:

We have a moral and legal obligation to ensure that all children in our care are protected, and their health and welfare are safeguarded. Our staff are mandated to report any concerns. All staff in the service are vetted through the Access NI vetting unit and have the correct qualifications to work with children. We act to protect children from harm, which may arise. It is our duty in this case to question the cause of any behaviour, bumps, bruises, or unusual markings. Our main concern in the service is to safeguard and protect the welfare of children. We have a responsibility to identify report and record any suspicions of child abuse to The Pathway and to Social services (Early years Team). We have a responsibility to respond to all child protection concerns.

Separated and Divorced Parent/Guardian’s:

Married Parent/Guardian’s are automatically joint guardians of their children. Neither separation nor divorce changes this. By law, an unmarried mother is the automatic guardian of a child born outside of marriage. In some circumstances, unmarried fathers have automatic access. The service should be informed about access rights. Unmarried fathers will automatically become guardians of their children if they meet a cohabitation requirement. An unmarried father who cohabits for 12 months with the child’s mother, including 3 months following a child’s birth, will automatically become the child’s guardian. This provision is not retrospective, so guardianship will only be acquired automatically where the Parent/Guardian’s live together for at least 12 months (applies to children born after 18 January 2016.)

We cannot refuse either Parent/Guardian’s to collect their child unless a court order is in place.
We ask that Parent/Guardian’s give us information on any person that does not have legal access to the child.
Where custody of a child is granted to one Parent/Guardian’s, we would ask you to clarify the circumstances with us. This information will remain confidential and will only be made known to the relevant staff. If there are any legal documents i.e. custody order, barring order we would ask you to provide us with a copy to keep on file.

Parent(s) Sign and Date

If you are human, leave this field blank.

AD HOC/HOLIDAY BOOKING FORM