Enrolment form

Basic Details

We need some details about your child and family. We have a legal obligation to collect and process this information in accordance with The Early Years Foundation Stage (Welfare Requirements) Regulations 2012 and therefore we do not require your consent for the first section of this form. Where information to be supplied is voluntary or where we do need consent this is identified. The information provided will be kept in paper form and used for the purpose of maintaining appropriate contact details and for the safety and well-being of your child.

Basic Details

Emergency Contacts

Emergency Contact Details

Please provide the names and contact details of 2 people (other than parents/guardians) who we can contact in case of an emergency. NOTE: It is your responsibility to ensure these people are happy for us to contact them and to hold their details

Security Details

A password system operates in our setting. A secure password is required and should be used by emergency contacts and persons authorised to collect your child. Ideally this should be one word and something that is easily memorable. Please do not use obvious things such as middle names. The password is required from anyone collecting your child. If they do not have the password we will not release your child to them.

We have the safety and well-being of the children in mind at all times and we are sure that you will appreciate that persons known to you are strangers to us and we do need means of identifying those you have authorised to collect your child (either authorised or emergency contacts) when you are unable to.

We as a setting and especially your child’s key person will be familiar with you but we do not always have the opportunity to meet both parents. This is also true of your nominated emergency contacts and authorised persons. We therefore request that should anyone unknown to us be collecting your child that you inform us in advance and if possible show us a photograph to enable us to identify them when they collect your child.

Health Information

Health Information


Safeguarding Children

FOR OFFICE USE – NB If the child has a child protection plan, make a note here, but do not include details. Ensure these are obtained from the social worker named above and keep these securely in the child’s named Child Protection file.

Health Visitor

The following information is voluntary and you do not have to complete it. However, we have a legitimate interest in requesting this data as it will assist in providing the necessary care for your child and to allow us to monitor and assess their development.

Personal Information

The following section requires information classed as ‘sensitive personal data’ for which we need your consent to collect and process. We request this data as, in some cases we have a contractual obligation to do so with our Local Authority, but also as we have a legitimate interest to allow us to plan and meet your child’s needs.

Ethnicity and Cultural background

Special Educational Needs and Disabilities

Professionals involved with the child

Permission & Consent

The following section contains information for which we need your consent. As required by data protection we have a duty to inform you that you can withdraw your consent for any of the permissions detailed below at any time. Should you wish to withdraw consent please discuss this with a member of staff in the first instance.

Permission and Consent

I understand that Lilliput Pre-School uses Tapestry to track children’s learning and development. I understand that staff will share EYFS profile data with the local authority. I understand that staff will raise safeguarding concerns with the Local Safeguarding Children Board. I understand that staff might decide to do this without my knowledge if they were sufficiently concerned about my child.

Agreement & Declaration


I agree that if a place is no longer required for my child at Lilliput Pre-School, I am required to give 2 weeks paid notice. I am also aware that my child’s account balance must also be settled prior to leaving. I agree that my child’s fees are payable regardless of any absences due to sickness or holiday which they may take. I agree to ensure that my child’s fees are paid in advance at Lilliput Pre-School (Fees are due on the first day of the week which your child attends and can be paid weekly or monthly in advance)


I declare the information on this form to be correct to the best of my knowledge.
Person with Parental Responsibility