Enrolment | Walsall Childminding Hub

Our Enrolment Process

At Walsall Childminding Hub, we strive to make the enrollment process as smooth and hassle-free as possible. To help us process your application quickly and efficiently, we kindly ask that you provide complete and accurate information. You have two options for submitting your form: 1. Download the enrolment form: Simply download the form using the link below, fill it out completely, and send it to us at info@walsallchildmindinghub.co.uk. 2. Complete the form online: You'll also find the link to the online form at the bottom of this page for a convenient digital submission. Once we receive your completed form, our team will review the details, including pricing, available days, and timings, to ensure everything aligns with your specific needs. If you’d prefer to receive the online form link directly, feel free to reach out—we’re happy to assist!

Enrolment Form

Download

Please provide as much detail as possible. If something doesn't apply, simply enter "N/A."

Child’s full name *

Name child is known by *

Child’s date of birth *

Nationality *

Sex *

Male
Female
Prefer not to say

Child’s first language *

Religion *

Address *

Post Code *

Parent/Carer’s name *

Place of work. N/A if not working *

Work address *

Post Code *

Work Telephone No *

Home Tel No *

Mobile No *

Email address *

Details of Additional Emergency Contact 1: Name *

Details of Additional Emergency Contact 1: Relationship to child *

Details of Additional Emergency Contact 1: Telephone Number *

Details of Additional Emergency Contact 1: Address *

Details of Additional Emergency Contact 2: Name *

Details of Additional Emergency Contact 2: Relationship to child *

Details of Additional Emergency Contact 2: Telephone Number *

Details of Additional Emergency Contact 2: Address *

Consent for collection if parent/carer is unavailable: select one or both *

Emergency Contact 1
Emergency Contact 2

Password to be used by the authorised people for collection if Parent/carer is unavailable *

Details of Family Doctor: Name *

Details of Family Doctor: Address *

Details of Family Doctor: Telephone Number *

Please list all vaccinations that your child has received and the dates they were given. *

Is your child allergic to anything? If Yes, give details.

Has your child had any major illnesses / operations? If Yes, give details

Has your child been in hospital recently? If Yes, give details

Has your child any on-going health problems? If Yes, give details

Does your child have any special educational needs that you are aware of? Are they in receipt of an EHCP (An Educational Health and Care Plan)? If Yes, give details

Please list any other relevant information i.e., other spoken languages, comforters, special routines etc.

Please list any special requirements i.e. about religious practices, food, clothing, health, or other matters which should be observed whilst in the care of the childminder.

Do you give permission for photos of your child to be used on our website and social media? *

Yes
No

A minimum of 3 months notice must be given by email to info@walsallchildmindinghub.co.uk if you wish to leave. *

Agree

No refunds are provided for child absences, late arrivals, or early pick-ups. *

Agree

I confirm that I have read and understood the policies and procedures available on the Walsall Childminding Hub website (www.walsallchildmindinghub.co.uk) and agree to abide by them. *

Agree

Parent/Carer(s) should notify the childminder of any changes to the details on this form as soon as possible. Please write your full name. *

Today's date *

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