Kiddie Hub Registration Form

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Parent/Guardian Information *

Email Address *

Email

Confirm Email

Phone Number *

Child(ren)’s Information

Child Date of Birth *

Any Allergies or Special Needs? *

• Yes
• No

Any Allergies or Special Needs? (Yes/No)

Child allergies

If Yes, what are the allergies?

Services You're Interested In *

• Nursery / Daycare
• After-School Club
• Breakfast Club
• Weekend Childcare
• Holiday Camps
• Parent Coaching
• Soft Play / Events
• Family Hub Activities

(Tick all that apply)

Date allergies

Home Address *

Address Line 2 (Optional)

Town/City *

Postcode *

Agreement *

• I agree to Kiddie Hub’s Terms & Conditions and Privacy Policy
• Yes, I’d like to receive updates and childcare tips from Kiddie Hub

Kiddie Hub’s Terms & Conditions and Privacy Policy

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