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ALL ABOUT ME
My name is  
 
The allergies I have are  
   
 
Any known illness/ailments or disabilities I have are  
   
 
Foods I can't eat are  
   
 
I like to have a comforter, which is  
   
 
I am up to date with my vaccinations  
   
 
Please add any other relevant information that could help us in the
settling in process of your child  
   
   
   
 
A DEPOSIT OF   HAS BEEN RECEIVED ON  
I give permission for my child to be taken out of the Nursery on outings etc.
I give permission for a member of staff to obtain urgent medical treatment and administer calpol should my child require it.
I have read and agree with all the terms and conditions in the information booklet.

Signed:   Date: