Application | Mysite

Application for 2025/26

Childs Name

Address

Month you wish your child to start at Stay 'n' Play?

Emergency contact: Name, contact number, relationship to child

Parents Email address

Childs DOB

Parent/Guardian Name

Parents Phone number

Any known allergies / Medical conditions

Childs health visitor name and phone number

Emergency contact: Name, contact number, relationship to child

People with permission to pick up child (Name, relationship and contact number)

Please allocate a memorable password to give to authorised people for collecting child

Stay 'n' Play payments must be made in advance weekly/monthly/per term. Any sessions booked must be paid even if absent. Please tick box to agree.

Your Signature

Thank you for your application!