Child Information


Family Information

Contact Details

Authorised Persons to collect Child from Nursery

I hereby authorise the above mentioned persons to collect my child from the Nursery and I understand that for the safety and security of my child, no other person will be authorized to collect my child unless otherwise specified by my-self in writing to the Management of the Nursery. Name


I, undersigned, lawful parent or guardian of the child named below, certify by signing that I fully agree to comply by the afore mentioned Terms and Conditions.