Formularz zgloszeniowy

Formularz zgłoszenia 2024/2025

Poniższy formularz jest dla dzieci, które chciałyby uczęszczać do Naszej Szkoły.

Prosimy zgłosić jakiekolwiek dolegliwości lub potrzeby dziecka, np. astma, epilepsja, lekarstwa, dieta, wzrok, słuch, alergie, o których powinniśmy wiedzieć, aby zapewnić dziecku bezpieczny pobyt w szkole.

Kontakt

Formularz zgłoszeniowy

Confidential

Please be assured that all information supplied is private & confidential

CHILDREN’S DETAILS

Child’s Name(Wymagany)

Date of Birth(Wymagany)

Place of Birth(Wymagany)

Nationality(Wymagany)

Address(Wymagany)

School(Wymagany)

Class(Wymagany)

Please detail below any medical condition, medication, support requirements or write none:(Wymagany)

DOES YOUR CHILD HAVE SIBLINGS?

Name

Date of Birth

DOES YOUR CHILD HAVE ANY ALLERGIES?(Wymagany)

PARENT/GUARDIAN DETAILS

Name of Mother/Guardian(Wymagany)

Home Address(Wymagany)

Mobile Tel(Wymagany)

Email(Wymagany)

Work address(Wymagany)

Occupation(Wymagany)

Name of Father/Guardian(Wymagany)

Home Address(Wymagany)

Mobile Tel(Wymagany)

Email(Wymagany)

Work address(Wymagany)

Occupation(Wymagany)

COLLECTION DETAILS

In addition to parents, only nominated adults are allowed to collect children. Please note that only those nominated will be able to collect your child.

Name(Wymagany)

Relationship(Wymagany)

Contact no(Wymagany)

Name

Relationship

Contact no

EMERGENCY DETAILS

EMERGENCY CONTACTS’ DETAILS (person whom we can call on only when you are not available– NOT PARENTS)

Name(Wymagany)

Relationship(Wymagany)

Contact no(Wymagany)

CONSENT TO MEDICAL TREATMENT(Wymagany)

(Please read statements 1 and 2 below, and select only one option)

1) I give permission for my child to receive emergency medical treatment/anaesthetic, including blood transfusion, as considered necessary by the medical authorities present.

2) I give permission for my child to receive emergency medical treatment/anaesthetic, as considered necessary by the medical authorities present with the exception of the administration of blood or blood products. I accept full legal responsibility for this decision.

DECLARATION

Fun Little Education hereby agrees to provide study and play for your child to the National Standards. I have read and agree to the Terms and Conditions and all Policy. I give my consent for my child to receive emergency medical care, if required and under the terms selected above, and to participate in normal programme of activities in our school.
Staff or photographer Łukasz Kowalski may take photographs or videos of my child activities and events for our records and publicity. Publicity may include posting pictures on our social media Facebook pages , leaflets or Pixy Camera website as well as in an evaluated project fund reports.
We would like to keep you informed as it is your child after all. We would also like to save unnecessary paper. Please supply a mobile number and email address so we can let you know about what happened on the weekly activities or about relevant plans electronically. I agree to you processing my own and my child's data for the purposes of providing me with a service, administering my account and informing me of updates regarding to your service.

Signed

(parent/guardian)

Date(Wymagany)

Polska Szkoła

Przedszkole

Poniższy formularz jest dla dzieci, które chciałyby uczęszczać do Naszej Szkoły.

Formularz zgłoszeniowy

Confidential