Baby/Toddler Crèche Registration
Child’s name:
________________________________________________________
Nickname/preferred name:
Birth date:
______________________________________________
_________________________
Age:
_________________
Parent/Guardian names and mobile contact no:
___________________________________________ Mob: ______________________
___________________________________________ Mob: ______________________
Other people who can pick up/sign-out your child:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Names of siblings in Crèche: _______________________________________________
_______________________________________________
Allergies/Medical issues:
______________________________________________________________________
______________________________________________________________________
Other comments:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Routine
Water:
Toileting:
Sippy Cup
Nappies
Normal CUP
Toilet Training
Bottle
Independent Toileting
Other things your child might need while in Crèche:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Privacy
Suburban Baptist Church uses photos/videos within Church Services, on its website and
in brochures to promote its programs. Do you give consent for your child, while engaged
in crèche activities, to be captured in photo/video for Suburban Baptist Church’s
advertising purposes?
Yes / No
Comments: ____________________________________________________________
______________________________________________________________________
Signed:______________________________________
Date: __________________