Get ready for fun

We’re delighted that you’re considering registering with Ducklings Childcare. Our mission is to provide a nurturing and joyful environment where your child can grow, learn, and flourish.

Ready to get started?

To begin the registration process, please fill out the form below with your details. We value the trust you place in us, and rest assured that all information provided will be handled with the utmost care and confidentiality.

Fill in this form and we’ll reply soon

Personal Details

Name of child*

Date of birth*

Religion

Ethnic origin

Nationality

Languages spoken at home

Details of any disabilities or special needs

How did you hear about Ducklings Childcare?

Preferred start date*

About Your Family (First Parent or Carer)

Full name*

Home address including postcode*

Mobile telephone number*

Home telephone number

Work telephone number

Email address*

I confirm that I have full parental responsibility for the above named child and that I can be contacted in an emergency on the numbers above

About Your Family (Second Parent or Carer)

Full name

Home address including postcode

Mobile telephone number

Home telephone number

Work telephone number

Email address

I confirm that I have full parental responsibility for the above named child and that I can be contacted in an emergency on the numbers above

First Emergency Contact

Full name*

Relationship to child*

Home address including postcode*

Mobile telephone number*

Home telephone number

Work telephone number

Second Emergency Contact

Full name

Relationship to child

Home address including postcode

Mobile telephone number

Home telephone number

Work telephone number

Emergency Contact Permissions

I confirm that I give full permission for contacts one and two to collect the above named child/children from nursery and to be contacted in the case of an emergency if no-one else can be reached

Medical Details

Does your child have any allergies?*

Does your child take any regular medication?*

Does your child have any special dietary needs?*

Is your child up to date with their immunisations?*

Name of GP*

Phone number of GP*

Address of GP*

Any other agencies involved including Social Services, Consultants etc. (Please provide name, address and contact details)*

Any other details we should know about?*

Collection Details

Name of person 1:

Phone number of person 1:

Name of person 2:

Phone number of person 2:

Name of person 3:

Phone number of person 3:

Name of person 4:

Phone number of person 4:

Name of person 5:

Phone number of person 5:

Agreement

I understand that if someone else not known to Ducklings Childcare Staff is collecting my child/children named above that a password system will be used. I also understand that it is my responsibility to inform Ducklings Childcare Staff who will be collecting my child/children if they are not named above or my child/children will not be released into their care..

I agree that all the information given above is correct to the best of my knowledge and I am aware that it is my responsibility to inform Ducklings Childcare immediately of any changes.

Call

01484 512136

Email

Click here…

Visit

145-147 Wakefield Road, Moldgreen, Huddersfield, HD5 9AN

Hours

Monday to Friday
7:30am to 6:00pm