Goldcrest Day Nurseries in Billericay and Stanford le Hope

Head office 01277 632 428
Billericay nursery 01277 632 428 Stanford nursery 01375 673 101

Enrol your child

Start the enrollment process online today. We will call you back to confirm a place on the waiting list and arrange payment.
We will do our best to accommodate the starting date requested for your child.

A bright future ahead

A fee of £30.00 deposit is required in order to be placed on the registration list at Goldcrest Day Nurseries Ltd, Stanford-Le-Hope. (Please note if you are to hold a place for longer a 4 week period of a fee of £90.00 will be necessary ).

Once your child is offered a place and you accept it, your child’s birth certificate is required at this point with a copy made for our file.

Enrollment form

Please complete the form below to start the enrollment process.

Step 1 of 9 - Child details

Form details
Which nursery*
Contact email address
Contact telephone*
Child details
Childs Name*
First Last
Name known as
Address*
Street Address City County / State / Region ZIP / Postal Code
Gender*
Date of birth*

Family details
Name of parent(s) / carer(s) with whom the child lives:*
First Last
Contact details 1
Name*
First Last
Relationship to child*
Daytime / work phone*
Mobile phone*
Home phone*
Home address*
Street Address City County / State / Region ZIP / Postal Code
Work address
Street Address City County / State / Region ZIP / Postal Code
Contact details 2
Name*
First Last
Relationship to child*
Daytime / work phone*
Mobile phone*
Home phone*
Home address*
Street Address City County / State / Region ZIP / Postal Code
Work address
Street Address City County / State / Region ZIP / Postal Code
Other person(s) with legal contact:
To be completed where those persons with parental responsibility are separated and an S8 Order is in place.
Name
First Last
Address
Street Address City County / State / Region ZIP / Postal Code
Phone
relationship ot the child
What are the contact arrangements that [we/I] need to be aware of?

Emergency contact details 1
Emergency contacts must be local.
Name*
First Last
Relationship to the child*
Address*
Street Address City County / State / Region ZIP / Postal Code
Daytime / work phone*
Home phone*
Mobile phone*
Emergency contact details 2
Emergency contacts must be local.
Name
First Last
Relationship to the child
Address
Street Address City County / State / Region ZIP / Postal Code
Daytime / work phone
Daytime / work phone
Mobile phone

Persons other than parent(s) authorised to collect the child:
Must be over 16 years of age. Please note that if the authorised person is not the person indicated on the daily signing in/out sheet, [Management/Staff] will check before releasing the child.
Other person 1
Name
First Last
Relationship to the child
Address
Street Address City County / State / Region ZIP / Postal Code
Daytime / work phone
Home phone
Mobile phone
Other person 2
Name
First Last
Relationship to the child
Address
Street Address City County / State / Region ZIP / Postal Code
Other person 3
Name
First Last
Relationship to the child
Address
Street Address City County / State / Region ZIP / Postal Code
Daytime / work phone
Home phone
Mobile phone
Collection password
Password for the collection of child by authorised persons.

Cultural background
As per the requirements of the Early Years Foundation Stage will complete a progress check on your child between the ages of 24-36 months. We will ask you to be involved in completing the check and will discuss it with you.
How would you describe your child's ethnicity or cultural background?
What is the main religion in your family (if applicable)?
Are there any festivals or special occasions celebrated in your culture that your child will be taking part in and that you would like to see acknowledged and celebrated while he/she is in our setting?
What language(s) is/are spoken at home?
What language(s) is/are spoken at home?
If English is not the main language spoken at home, will this be your child's first experience of being in an English-speaking environment?
- Yes
- No
Does your child need a bilingual support plan?
- Yes
- No
If so, discuss and agree with the key person how [we/I] can work together to support your child when settling-in:

General Information
What is your childs usual sleep pattern?
Does your child have a feeding routine (for children under 2 years)??
- Yes
- No
Does your child have any food preferences?
- Yes
- No
Does your child have a pacifier i.e. dummy or thumb?
- Yes
- No
Does your child have a special toy or object they might bring with them?
- Yes
- No
What sort of things does your child enjoy doing at home, i.e. drawing or cooking?
What other information is it important for us to know about your child? For example, what they like, or what fears they may have, or any special words they use.
Details of professional involved with your child
GP
GP Name
Phone
Address
Street Address City County / State / Region ZIP / Postal Code
Health Visitor
Health visitor Name
Phone
Address
Street Address City County / State / Region ZIP / Postal Code
Social care worker
Social care worker Name
Phone
Address
Street Address City County / State / Region ZIP / Postal Code
What is the reason for the involvement of the social care department with your family?
NB If the child has a child protection plan, make a note here, but do not include details. We will ensure these details are obtained from the social care worker named above and keep these securely in the child's file.
Dentist
Dentists Name
Phone
Address
Street Address City County / State / Region ZIP / Postal Code
Any other professional who has regular contact with the child
Person 1
Name1
Role
Agency (If applicable)
Phone
Address
Street Address City County / State / Region ZIP / Postal Code
Person 2
Name2
Role
Agency (If applicable)
Phone
Address
Street Address City County / State / Region ZIP / Postal Code
Person 3
Name3
Role
Agency (If applicable)
Phone
Address
Street Address City County / State / Region ZIP / Postal Code

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Enrol your child

A bright future ahead

Enrollment form

Step 1 of 9 - Child details

Form details

Child details

Family details

Contact details 1

Contact details 2

Other person(s) with legal contact:

Emergency contact details 1

Emergency contact details 2

Persons other than parent(s) authorised to collect the child:

Other person 1

Other person 2

Other person 3

About your child

Health & Development

2 months old

3 months old

4 months old

Between 12 & 13 months old

2 to 3 years old

3 years & 4 months or soon after

On-going medical conditions

Dietry requirements

Difficulties

Are any of the following in place for the child?

2 Year old progress check

Cultural background

General Information

Details of professional involved with your child

GP

Health Visitor

Social care worker

Dentist

Any other professional who has regular contact with the child

Person 1

Person 2

Person 3

Session Request

Please tick the sessions you would like your child to attend: