Registration Child's Details Child's Name(Required) Name you wish the child to be called Date of Birth(Required) Photocopy of birth certificate(Required) Parent's Details Father's Name(Required) Occupation/ Place & Address of Work:(Required)Occupation, Address Phone Number(Required) Mother's Name(Required) Occupation/ Place & Address of Work(Required)Occupation, Address Phone Number(Required) Parent's Residential Address(Required)Residential Address If Any, Name & phone number of person(s) authorised to collect your child (must be over 21 years of age and a responsible person) 1.Name and Phone Number 2.Name and Phone Number In Case of Emergency Contact Contact Person 1 Name(Required) Relationship to child(Required)FatherMotherUncleAuntyCousinNephewNieceStep BrotherStep SisterStep FatherStep MotherNeighbourCare Giver Phone Number:Mobile(Required) Phone Number: Work(Required) Contact Person 2 Name(Required) Relationship to child(Required)FatherMotherUncleAuntyCousinNephewNieceStep BrotherStep SisterStep FatherStep MotherNeighbourCare Giver Phone Number:Mobile(Required) Phone Number: Work(Required) Child's Details Details of Hospital Used Name of Hospital Used(Required) Name of Family Doctor & Phone Number(Required) Address & Phone No(Required) Immunisation Records(Required) Type of Immunization Date Photocopies and Evidence of Immunisation Records to be attached. Does your child have any illnesses, allergies (e.g. asthma, eczema, hay fever) or other medical concern we should be aware of?YesNo If Yes, please provide detailsillness and allergies Does your child have any other special health requirements or needs? YesNo If Yes, please provide detailsspecial needs Certification of Fitness and Wellbeing of Child Name of Hospital Upload Fitness certification ONLY SIGNED FITNESS CERTIFICATION OF A CHILD BY A MEDICAL DOCTOR GUARANTEES ACCEPTPANCE OF CHILDREN IN THE SCHOOL Any other relevant information that you think will help us to settle your child in at Cradle 2 Crayonsspecial needs Attestation I confirm that the information provided above are CORRECT & TRUE. I have not misrepresented any of that information required by Cradle 2 Crayon Childcare Centre Download Application Form pdf Duly completed and signed registration form with child’s passport Birth Certificate provided Immunization records provided Signed certificate of fitness Full amount of fees paid For more enquiries please: Contact Us
