Admission | The Little Nest Early Years

Child's Full Name *

Date of Birth *

Gender

Nationality

Religion

Tribe / Ethnic Group

Main Language at Home *

Other Languages Spoken

📅 Care Requirements

Is Care Permanent or Temporary? *

If Temporary — How Long?

Short Days Attending (8:00 – 12:45)

Long Days Attending (8:00 – 16:30)

Do you require additional days from time to time?

Approximate Drop-Off Time

Approximate Pick-Up Time

📄 Required Documents (upload after submitting via WhatsApp)

📎 Please send these documents to +255 685 379 795 on WhatsApp with your child's name: Child's Birth Certificate · Immunisation Card (Kadi ya Kliniki) · Passport-size photo of child

Title

Given Names *

Relationship to Child *

Date of Birth

Nationality

Occupation

Place of Work

Home Address / Location in Arusha *

Phone / WhatsApp *

Email Address *

Title

Given Names

Relationship to Child

Date of Birth

Nationality

Occupation

Place of Work

Home Address / Location

Phone / WhatsApp

Email Address

🆘 Emergency Contact 1

Full Name *

Relationship to Child

Phone Number *

Email

Full Home Address

Permissions

Can Collect Child Can Consent to Medical Can Authorise Little Nest to take child out of centre

🆘 Emergency Contact 2

Full Name

Relationship to Child

Phone Number

Email

Full Home Address

Permissions

Can Collect Child Can Consent to Medical Can Authorise Little Nest to take child out of centre

🆘 Emergency Contact 3

Full Name

Relationship to Child

Phone Number

Email

Full Home Address

Permissions

Can Collect Child Can Consent to Medical Can Authorise Little Nest to take child out of centre

🆘 Emergency Contact 4

Full Name

Relationship to Child

Phone Number

Email

Full Home Address

Permissions

Can Collect Child Can Consent to Medical Can Authorise Little Nest to take child out of centre

💉 Immunisation

Is your child fully immunised?

Has your child ever been diagnosed with any of the following?

If Other, please list:

⚠️ Your child's immunisation is your responsibility. If there is an outbreak of a vaccine-preventable disease, un-immunised children may be required to stay home. Daily fees still apply during this time.

📎 Please send a copy of your child's Immunisation Card (Kadi ya Kliniki) via WhatsApp to +255 685 379 795.

🏥 Medical Information

Child's Doctor — Name, Place of Work & Phone Number

Does your child suffer from any of the following?

Asthma Seizures Allergies / Anaphylaxis Other

If Other — please list and provide your child's action plan:

Does your child take prescribed medication on a regular basis?

Does your child have a diagnosed disability or special needs?

If Yes — please include details and any relevant documents:

Does your child have any dietary or cultural requirements?

If Yes — please provide details:

Has your child ever had a serious illness or hospitalisation?

If Yes — please provide details:

Has your child ever had a convulsion with a high temperature?

If Yes — please provide details:

😴 Sleep

Does your child usually sleep during the day?

Does your child sleep in a bed or a cot?

Cot Bed

Does your child follow a flexible or rigid sleep routine?

Normal sleep time at night (e.g. 7:30pm – 6:00am):

Does your child have any comforters (e.g. blanket, teddy)?

Does your child have any fears or phobias?

🍽️ Feeding

Does your child have any meal requirements?

Does your child have a bottle?

If Yes — how many bottles per day?

What is in the bottle?

Breast milk Cow milk Formula Other

If Other — please specify:

🚽 Toileting

On commencement, is your child potty trained?

Fully trained Partially Not at all

What words are used at home for toileting?

Does your child show signs when needing the bathroom?

Any other words or actions we should know?

What are your child's current interests?

What do you most want your child to gain from being at The Little Nest?

Is there any area of your child's development that concerns you?

Is there a particular area you would like us to focus on?

Any additional information to help us understand your child better?

📸 Photo Permissions

I give permission for the centre to take photos of my child and display them within the centre for programming purposes (including newsletters).

I give permission for the centre to use photos of my child on marketing and promotional activities related only to The Little Nest Early Years Ltd.

☀️ Sunscreen Permission

I give permission for sunscreen to be applied to my child for outdoor play. I understand I am responsible for providing sunscreen.

🚑 Medical & Emergency Permissions

I give permission for The Little Nest to administer Panadol if my child has a high temperature and I cannot be reached immediately.

I give permission for my child to be transported by ambulance to hospital in an emergency.

📋 Policies & Declaration

I have read, understood, and agree to all terms and conditions outlined in The Little Nest's Policies and agreements, including the details described in this enrolment application. I agree and acknowledge that The Little Nest Policies may be amended from time to time with 14 days' notice.

✅ I agree to all The Little Nest policies and terms as described above. *

💳 Admission Fee — Proof of Payment

📎 Please send your proof of admission fee payment (bank receipt, M-Pesa, or bank transfer screenshot) via WhatsApp to +255 685 379 795 along with your child's name.

🔒 Your information is private and goes directly to The Little Nest team via your Google Form.

Apply for Admission

Child's Details

Parent / Guardian 1

Parent / Guardian 2

Emergency Contacts

Immunisation & Medical

Child's Routine & Development

About Your Child

Permissions & Declaration

Application Received!

📋 How It Works

📁 Documents Needed

🎒 Programs & Ages