registration%20form.pdf

REGISTRATION FORM. ENTRY FOR YEAR 200. ... SUMMER (April).... Child's Name__________________________________________ Date of Birth ...
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REGISTRATION FORM

ENTRY FOR YEAR 200...... Term: AUTUMN (Sept).... SPRING (Jan) .... SUMMER (April).... Child’s Name__________________________________________ Date of Birth _______________________ Sex M / F _________________________ Address______________________________________________ Tel (home) _________________________ _____________________________________________________ Mother’s Tel.work___________________ ___________________________Postcode __________________ Father’s Tel. work ___________________ Religion______________________

Mobile____________________________

Nationality____________________ Mobile____________________________ Mother’s name____________________________________

Occupation________________________

Father’s name________________________________________

Occupation________________________

Alternative emergency contact if parent unavailable _____________________________________________ _______________________________________________________________________________________ Doctor’s name and phone number ___________________________________________________________ Known allergies or medical conditions _______________________________________________________ Conditions of entry a) Fees payable in advance at the start of each term. b) One term’s notice in writing required before removal of child, or one term’s fees in lieu thereof. c) The Principal reserves the right to resign the charge of any child. d) Registration fee 55 Euros. e) I agree to my child being taken from the school when accompanied by trained staff, e.g. outings, swimming and walks. f) I agree that in the event of an emergency my child should attend the casualty department at the nearest hospital.

I have read the above conditions and agree to abide thereby: Date_______________________ Signature of Parent____________________________________________

Rainbow pre-school,70 rue Eugène Caron – 92400 Courbevoie – Tel/Fax : 01 43 33 00 07 S.A.R.L au capital de 8000 euros – R.C.S Nanterre 450 009 204