Nursery Parental Responsibility StatementΔNursery Parental Responsibility Statement Please tick if applicable:Child's First NameChild's Last NameClass- Select -CaterpillarButterflyI confirm that: I will be collecting my child from Nursery every day My child will be collected by the person named belowNominated PersonAdditional CollectionMy child may also be collected on occasion by the person named below:Additional personShould there be any change to the usual pick-up arrangements, I will notify the Nursery in writing and sign the 'Change to Pick-Up Arrangements form in the lobby on the relevant day.SignedDateSubmit Form
