REGISTER

FATHER DETAILS
Child's father is reachable:*
Father First Name *
Father Middle Name *
Father Family Name *
Father Job *
Father Company Name *
Father Civil ID *
Father Email *
Father Phone *
Father Other Phone
Father Nationality *
Upload Father Civil ID / Passport * jpg, doc, docx, pdf (max 500 KB)
Area *
Block *
Avenue
Street *
House/Building *
Can we contact father? *
Father marital Status *


MOTHER DETAILS
Child's mother is reachable:*
Mother First Name *
Mother Middle Name *
Mother Family Name *
Mother Job *
Mother Company Name *
Mother Civil ID *
Mother Email *
Mother Phone *
Mother Other Phone
Mother Nationality *
Upload Mother Civil ID / Passport * jpg, doc, docx, pdf (max 500 KB)
Area *
Block *
Avenue
Street *
House/Building *
Can we contact mother? *
Mother marital Status *




CHILD DETAILS
First Name *
Middle Name *
Family Name *
Date Of Birth *
Birth Certificate * jpg, doc, docx, pdf (max 500 KB)
Child Photo * jpg, jpeg, png, gif (max 500 KB)
Civil ID *
Nationality *
Upload Civil ID * jpg, doc, docx, pdf (max 500 KB)
Languages Spoken At Home *
Gender *
Vaccination Record * jpg, doc, docx, pdf (max 500 KB)
Has your child had any of the following illness or suffer from any of these conditions?
Chicken Pox
Whooping Cough
Mumps
Tonsilllitis
Rheumatic Fever
Asthma
German Measles (Rubella)
Scarlet Fever
Epilepsy
Measles
Tuberculosis
Diabetes
Poliomyelitis


Doctor Name
Hospital Name
Another Medical Conditions or Allergies




ONLINE SYSTEM ACCESS
Online Account Access Using *




EMERGENCY CONTACTS
Emergency Contact Name 1 *
Emergency Contact Phone Number 1 *
Emergency Contact Name 2 *
Emergency Contact Phone Number 2 *



PICKUP AUTHORITY
Pick Up Authority 1 Full Name *
Authority 1 Relationship to Child*
Photo of Pick-Up Authority 1 * jpg, jpeg, png, gif
Pick Up Authority 2 Full Name *
Authority 2 Relationship to Child*
Photo of Pick-Up Authority 2 * jpg, jpeg, png, gif



Consent for photographs

I agree for Toddlers town daycare & child development centre to take photographs of my child which may be used for development observation purposes and advertising including the website and newsletters.

Yes      No    

Consent for the administration of medication

In the event that your child develops a fever, pain or allergy TODDLERS TOWN staff may need to administer Paracetamol or Antihistamine. If your child is unable to use any of these medications, please discuss suitable alternatives with the Nurse to arrange an alternative Do you approve the administration of Paracetamol or Antihistamine?

Yes      No    

Consent for examination by physician

The centre-contracted physician will perform timely examinations on your child, focusing on general health, growth and well-being. DO you agree to allow the centre physician to examine your child.

Yes      No    

Consent for basic first aid and medical treatment

In the case of injury toddlers town staff will give the child basic first aid treatment (eg-treatment of scratches, buises, cuts). Parents will be informed immediately . In the case parents are unreachable necessary medical attention will be sought with the wellbeing of the child as priority Do you approve the administration of basic first aid?

Yes      No    

Toddlers Town Admission Agreement

I undertand the importance of complete and accurate details required to ensure my child’s safety at ToddlersTown Daycare & Child Development Center and to the best of my knowledge have ensured accuracy on all registration documentation. i the parent , understand the critical need for this information to remain current and up to date. i understand and fully comply agreeing that ToddlersTown Daycare & Child Development Center and its management have all the rights to refuse the admission of my child if they discover any incorrect or missing information in my child registration form.

Yes






CONTACT US
KUWAIT, AUDAILYA , BLOCK3, STREET 34, HOUSE 7B
TELEPHONE: 22560271 - 22560790
EMAIL:
admin@toddlerstownQ8.com
info@toddlerstownQ8.com
Copyright © 2019 Toddlers Town. All rights reserved Developed by Vertex Solutions