Register for a children’s centre

Register for a Children's Centre

Please complete this form to register at a Children’s Centre. Staff from your local Children’s Centre will then contact you, give you more information about activities and events and answer any questions you might have.

You can visit any Children’s Centre in Bristol to find out more about play, learning and family support services for families with babies and young children under five.

Find out about the centres on the Children's Centres page.

Parent or carer 1

First name

You need to enter your first name.

Last name

You need to enter your last name.

Address

You need to enter your address.

Postcode

You need to enter a valid postcode.

Email address

Telephone

You need to enter a telephone number.

Date of birth

You need to enter your date of birth.

Are you pregnant?YesNo

You need to tell us if you are pregnant.

Parent or carer 2

First name(s)

Last name

Address

Postcode

Telephone

Date of birth

Are you pregnant?YesNo

Children under five

Child 1 or baby to be born

First name (if pregnant with first child enter 'pregnant')

You need to enter the child's name.

Middle name(s)

Last name (if pregnant with first child enter 'pregnant')

You need to enter the child's last name.

Date of birth (or due date if pregnant with first child)

You need to enter the child's date of birth.

GenderBoyGirl

If you're pregnant, there's no need to tell us the gender

Child 2

First name

Middle name(s)

Last name

Date of birth

GenderBoyGirl

Child 3

First name

Middle name(s)

Last name

Date of birth

GenderBoyGirl

Child 4

First name

Middle name(s)

Last name

Date of birth

GenderBoyGirl

Family and household

Children's Centres provide a wide range of services for all families. The Centre staff also work with and provide support for other local Early Years settings. In order to help us provide the right services for families in the local area please answer the questions below.

Is anyone in the household currently working?YesNo

You need to tell us if anyone in the household is currently working.

Does your child live in a family where only one parent or carer is present?YesNo

You need to tell us if your child lives in a family where only one parent or carer is present.

Privacy and consent

Data protection

I am the parent of the child named on this registration form or hold Parental Responsibility for him/her. I understand and agree that the information I have provided:

will be held and managed securely by Bristol City Council
Can be used to monitor and evaluate the Children’s Centre programme
will be available to named members of staff in Children’s Centres, partnership settings and organisations who are bound by protocols regarding confidentiality

I also understand that if I am providing personal information about other people it is my responsibility to inform them of the information included in this declaration.

Please note where appropriate you may be able to use Children's Centres services until your youngest child transfers to secondary school and therefore the details you have provided on this form will be stored until that time.

The completed form will be forwarded to your local Children's Centre.

By submitting this form you agree that you have read and understood the data protection information.

When we share information about your child, we'll always do it in the safest way. This may mean that some of the information that you have given us will be shared using the secure Connecting Care portal. This can only be accessed by relevant Health and council staff, or staff delivering services you need. Staff will only have access to the information they need to help design and deliver services for your family.

You can find out about how Connecting Care works and what your rights are at the Bristol Clinical Commissioning Group website.

Form Runner

Register for a Children's Centre