Creche Consent Form 2026-2027 - ChristChurch Tilehurst

Child 1: Full name

Child 2: Full name

Child 1: Date of Birth (DD/MM/YY)

Child 2: Date of Birth (DD/MM/YY)

Home address

Allergies/intolerances (including medication)

Medical conditions (e.g. asthma) or Additional / Behavioural Support Needs: (Any details that will help our team care for, include, and support your child well)

Are you happy for us to change your child's nappy? (If not, we will come and get you)

Are you happy for us to accompany your child to the toilet? (If not, we will come and get you)

Are you happy for us to give your child a snack?

Any other information that would be helpful for us to know

Parent/carer name(s)

Parent/carer email

Emergency contact no.

I give permission for my child(ren) to attend Creche, and for my child(ren)'s details to be stored by ChristChurch, Tilehurst for purposes as considered necessary

Should there be any change to the details given on this form I understand that it is my responsibility to inform the main leader

In the unlikely event of illness or accident I give permission for any necessary emergency first aid or medical treatment to be given. In an emergency and if I am not contactable, I am willing for my child to receive hospital treatment, including an anaesthetic. I understand that every reasonable effort will be made to contact me as soon as possible

22 plus 1 = leave this one twenty seven thousand