Skip to main content
Hit enter to search or ESC to close
Search
Close Search
search
Menu
Jesus
About
About Us
What’s On?
Who’s Who?
News
The Legal Stuff
Thornhill Church Trust
Data & Privacy
Safeguarding (PDF)
Church
Thornhill Church
Sundays at Thornhill Church
Listen
Children
Tots Church
Junior Church
Youth
No Limits
Sunday Night Youth
Mission
Wales Korean Church
Nursery
Café
Hire
Welcome In!
Venue Hire
Calendar
Contact
Devoted
facebook
youtube
email
search
Lighthouse Nursery Registration Form
Please complete this initial registration form to apply for a place for your child at Lighthouse Nursery.
"
*
" indicates required fields
1
Child’s Details
2
Sessions Required
3
Parent / Contact Details
4
Sign & Submit
Company
This field is for validation purposes and should be left unchanged.
Child's name
*
First
Last
(Known as)
Address
*
Street address
Address line 2
Town / City
Post code
Date of birth
*
Your child's date of birth.
DD slash MM slash YYYY
Gender
*
Male
Female
Ethnic origin
Religion
Allergies or medical conditions
Please record any allergies or medical conditions that your child may have.
Disabilities, difficulties with hearing / sight or speech, etc.
Please record any disabilities or impediments that your child may have.
In the event of an accident / injury whilst your child is in our care, we will contact the North Cardiff Medical Centre, or 999 in the case of a major emergency.
What would be your preferred Lighthouse Nursery starting date?
*
We are able to accept children from the age of 2 years 6 months.
DD slash MM slash YYYY
Which sessions will your child require at Lighthouse Nursery (please tick ALL required sessions):
Monday
Early start (8.30am)
Morning Session (9am-12pm)
Walkover to/from Thornhill Primary Nursery
Lunch (12-1pm)
Afternoon Session (1-4pm)
Not Sure (Please use the box below to provide details)
Tuesday
Early start (8.30am)
Morning Session (9am-12pm)
Walkover to/from Thornhill Primary Nursery
Lunch (12-1pm)
Afternoon Session (1-4pm)
Not Sure (Please use the box below to provide details)
Wednesday
Early start (8.30am)
Morning Session (9am-12pm)
Walkover to/from Thornhill Primary Nursery
Lunch (12-1pm)
Afternoon Session (1-4pm)
Not Sure (Please use the box below to provide details)
Thursday
Early start (8.30am)
Morning Session (9am-12pm)
Walkover to/from Thornhill Primary Nursery
Lunch (12-1pm)
Afternoon Session (1-4pm)
Not Sure (Please use the box below to provide details)
Friday
Early start (8.30am)
Morning Session (9am-12pm)
Walkover to/from Thornhill Primary Nursery
Lunch (12-1pm)
Afternoon Session (1-4pm)
Not Sure (Please use the box below to provide details)
Is there anything else we need to know?
If you are unsure about which sessions you will need - whether you need mornings or afternoons etc. - please indicate this here.
Please record the contact details for at least one parent / guardian:
Parent / Guardian's name
*
Relationship to child
*
Contact number
*
Alternative contact number
Email address
*
Add additional parent / guardian?
Add parent / guardian details
Additional Parent / Guardian details
Parent / Guardian's name
*
Relationship to child
*
Contact number
*
Alternative contact number
Email address
*
Emergency contacts
Please record any emergency contact details should we be unable to get in touch with a parent / guardian:
Emergency contact 1 name
Relationship to child
Contact number
Emergency contact 2 name
Relationship to child
Contact number
If you're happy that all of the registration details are correct, please sign and submit your form.
Your signature
*
Δ
Close Menu
Jesus
About
About Us
What’s On?
Who’s Who?
News
The Legal Stuff
Thornhill Church Trust
Data & Privacy
Safeguarding (PDF)
Church
Thornhill Church
Sundays at Thornhill Church
Listen
Children
Tots Church
Junior Church
Youth
No Limits
Sunday Night Youth
Mission
Wales Korean Church
Nursery
Café
Hire
Welcome In!
Venue Hire
Calendar
Contact
Devoted
facebook
youtube
email