Register your child

Please use this form to register your child and we will get back to you shortly

Your contact Email:

Child's Name (in full):

Name to be called:

Address:

Date of birth:

School attended:

Name of parent(s) or carer(s):

Daytime contact telephone:

Evening contact telephone:

Contact mobile:

Name and address of the person collecting the child (If different from above):
Children WILL only be allowed to leave with a named person

(Collecting person) Daytime contact telephone:

(Collecting person) Evening contact telephone:

(Collecting person) Mobile:

Details of second contact other than collector who may be able to collect in case of emergency:

(Emergency collecting person) Daytime contact telephone:

(Emergency collecting person) Evening contact telephone:

(Emergency collecting person) Mobile:

Details of child's doctor:

Does your child have any known medical problems (if so please list)
Please list any dislikes or allergies:

Ashdene Primary, Wilmslow Goostrey Community Primary, Goostrey Ivy Bank Primary, Macclesfield Kingsmead Primary School, Northwich Lady Barn House School, Cheadle Lindow Community Primary, Wilmslow Middlewich Primary, Middlewich Moss Park Infants, Stretford Park Road Primary, Sale Prospect Vale Primary, Hela Green St Anne's Fulshaw CE Primary, Wilmslow St Barnabas CE Prmary, Macclesfield

Please list the dates and state which club [nursery/pre/before/after school] your child will be attending:

Please read Superkids terms and conditions

You will not be able to submit this form unless you agree to our terms and conditions

I have read and agree with Superkids Ltd terms and conditions

Any queries please contact Superkids on Telephone: 01625 529474