ࡱ> JgI [bjbj 4(ggb  8,&<*bbbxxxSSSx*z*z*z*z*z*z*$[-0v*SSSSS*xx*SFxxx*Sx*rV%TV&x0q%d**0*%00V&V&0T'SSSSSSS**?SSS*SSSS0SSSSSSSSS X t: Additional Needs Form Name of Child: ...... Date of Birth: ......... Does your child have any of the following (please tick and provide brief details): ( Special Educational Needs ( Special Diet (including vegetarian) ( Vegetarian - Does your child eat fish? (Yes (No( Allergy/Intolerance ( Medical Condition Please give as much information as possible below. We need the above information so we can ensure we have safe systems in place before your child starts nursery. You will be contacted by the Deputy Manager, Rachael Hinchcliffe, to discuss your child's individual needs. ......... ......... ......... ......... ......... ......... Print Name: .. *Sign: .... 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