Admission Form
Text Box: London & Paris International Nursery Jumeirah Road, Opposite Jumeirah Beach Hotel Tel. 4 348 0077 Fax. 4 3483003 P.O. Box, 73099, Dubai U.A.E Month ______Day ______Year_________ Child’s Name: _____________________________________________________  Date of Birth               : ____________________      Sex:  Male (     ) Female (     ) Nationality     : _____________________________________________________    Language Spoken: __________________________________________________ Father’s Name:  ____________________   Father’s Mobile: ________________ Mother’s Name: ____________________ Mother’s Mobile: ________________ Home Number: ______________________ Office Number: _________________ Emergency Contact (Name & No.):_________________________________ Medical Information   Allergies: _________________________________________________________ Is your child under medical treatment? If yes, Please give details: _____________ __________________________________________________________________ Dose your child have any relevant illnesses? If yes, Please give details: _________ __________________________________________________________________                        Family Doctor and Telephone:  _________________________________________ How did you heard about us? ___________________________________________ Condition of registration Registration fees are non-refundable. No reimbursement is possible once the trimester has begun      and in case of absences or illness. The nursery is covered by a public liability insurance policy. I accept and agree that in the case of an accident or injury to my child, the nursery staff shall have full authority to take their own decision, if I cannot be reached at the emergency numbers; I wave all claims against the nursery its owners and employees and agree to abide by the nursery’s policies. Name of the Parent_____________________________ Signature & Date______________________________