Registration

Before registering with our nursery, we encourage all our parents to visit us to meet the team and have a look around, we are always happy to answer any questions you may have.

Childcare Registration Form

Step 1 of 6

By registering or making a booking with Little Lionhearts Nursery School, it is regarded that you have read and accepted our terms and conditions. We reserve the right to change the terms and conditions and our fee structure at our sole discretion. We will do our best to provide you with as much notice as possible and keep you informed of these changes.

To formally reserve a space at the nursery, you must complete and submit the registration form and pay the required registration fee. Once approved, you will receive written confirmation of the placement. You may choose to accept or decline the placement offer within 7 days. Once you accept our placement offer, the registration fee will become non-refundable.

If you have confirmed to accept our placement offer, we can provide 4.5 hours of complimentary settling-in sessions prior to your child's start date. We will investigate any special needs or resources that may be available to help the child settle in. We will work with you to cater for specific dietary and medical requirements of individual children to the best of our abilities. You must make sure any special diet or medical condition is communicated to us and confirmed in writing.

In consideration for a better childcare experience, there is a minimum booking commitment of two full days or three half days for all children.
Attendance Pattern
Please select all days you wish your child to attend.
Preferred Start Date*
DD slash MM slash YYYY

(DD/MM/YYYY)
Estimated End Date
DD slash MM slash YYYY

(DD/MM/YYYY)
Monday
Tuesday
Wednesday
Thursday
Friday

Child's Details
Child's Name*
First Last
Preferred Name
Date of Birth*
DD slash MM slash YYYY

(DD/MM/YYYY)
Gender*
- Male
- Female
Nationality*
Native Language*
Birth Certificate / Passport ID:

Parent / Legal Guardian Details (1)
Parent / Legal Guardian Name*
First Last
Relationship to Child*
Address*
Street Address Address Line 2 City County / State / Region Postcode Country
Email*
Phone*
Parent / Legal Guardian Details (2)
Parent / Legal Guardian Name
First Last
Relationship to Child
Address
Street Address Address Line 2 City County / State / Region Postcode Country
Email
Phone

Emergency Contact Details
3rd Person to Contact in Emergencies
First Last
Relationship to Child
Phone
GP Contact Details
Doctor Name
First Last
Address
Street Address Address Line 2 City County / State / Region Postcode Country
Email
Phone

Dietary Declarations
Does the child have any special dietary needs?*
- Yes
- No
If Yes, please give details:*
Medical Declarations
Does the child have any allergies or medical conditions*
- Yes
- No
If Yes, please give details:*
Do you give permission for your child to receive emergency treatment at a UK hospital or medical centre, in case of an accident or urgent illness?*
- Yes
- No

Set up a Direct Debit Mandate
The nursery requires all ongoing nursery fees to be paid in advance by Direct Debit. If you wish to pay using a Tax-Free Childcare Account or Childcare Voucher, you must use the relevant government portal to make payment to us 7 days prior to the invoice due date, otherwise, the amount outstanding will be taken via Direct Debit on or shortly after 28th of each month. We will email you a confirmation once your direct debit is set up, you will always receive an invoice from us at least 13 days prior to the direct debit payment date.
Name of Direct Debit Payee*
First Last
Billing Address*
Street Address Address Line 2 City County / State / Region Postcode Country
Your Sort Code*
Your Account Number*
Billing Email*
Direct Debit Guarantee

The Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits.

If there are any changes to the amount, date or frequency of your Direct Debit GoCardless will notify you (normally 3 working days) in advance of your account being debited or as otherwise agreed. If you request GoCardless to collect a payment, confirmation of the amount and date will be given to you at the time of the request.

If an error is made in the payment of your Direct Debit, by GoCardless or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society.

If you receive a refund you are not entitled to, you must pay it back when GoCardless asks you to.

You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify GoCardless.
Declaration & Acceptance
General Declaration & Acceptance of Terms & Conditions*
I confirm, to the best of my knowledge, the information given in this form is correct and complete. I understand and accept all the terms and conditions attached to this document and displayed on the school’s website at http://www.littlelionhearts.com/downloads/terms-conditions.pdf.
Agreed by Parent/Guardian Name (1)*
First Last
Agreed by Parent/Guardian Name (2)
First Last

If you have any questions about our registration process, please feel free to contact us.

If you prefer to complete it by paper and send to us by mail, you download a PDF copy below.

Download Registration Form

Registration

Childcare Registration Form

Step 1 of 6

Attendance Pattern

Child's Details

Parent / Legal Guardian Details (1)

Parent / Legal Guardian Details (2)

Emergency Contact Details

GP Contact Details

Dietary Declarations

Medical Declarations

Set up a Direct Debit Mandate

Declaration & Acceptance

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