Cherry Tree Kindergarten Booking Form

Please complete the form below:

Child's Name* Kindergarten Teacher's Name*

Please tick the appropriate box(es) to indicate which day(s) you wish your child to attend:*Monday 12:30 - 15:30Tuesday 12:30 - 15:30Wednesday 12:30 - 15:30Thursday 12:30 - 15:30

Is this a one-off session or regular?One-offRegular

Requested Start Date* Name and contact number of the adult who will be collecting your child on a regular basis* Does your child have any medical conditions or allergies? If yes, please enter information below:* Does your child have any food allergies or dietary requirements? If yes, please enter information below:* Your Name:* Email:* Home Phone Number*

I understand and agree that it is my responsibility as the parent/guardian to update Rachel Ford-Blanchard with any significant changes regarding the medical information (including injuries, allergies, Tetanus immunisation, medication) and/or contact details of this pupil. Please tick to confirm you have read all of the information above*Yes

Date*