Form Runner

Your browser does not appear to support JavaScript. You may want to try one of the following:

Turn on JavaScript in your browser if it supports it.
Use a browser that supports JavaScript.
Try a JavaScript-free version of this page, if made available by the application author.

There's a problem with this form.

Sorry, something's gone wrong with this form.

This may have happened because the form was open for a long time.

We haven't saved any personal information you entered. We do this for your security.

Try loading the form again:

in Chrome, Safari or Internet Explorer: hold down the Ctrl key (Command on iOS machines) and click the reload button on the toolbar
in Firefox: hold down the shift key and click the reload button on the toolbar

If this doesn't work, please use the website feedback form to tell us there's a problem.

Show details

Hide details

Help

$xforms-template-label$$xforms-template-help$$xforms-template-hint$$xforms-template-label$$xforms-template-help$$xforms-template-hint$

Go to Content

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

Title You need to enter a title.

First nameYou need to enter your first name.

Last nameYou need to enter your last name.

AddressYou need to enter your address.

PostcodeYou need to enter a valid postcode.

Email address

TelephoneYou need to enter a telephone number.

Date of birth

You need to enter your date of birth.

Are you pregnant?YesNoYou need to tell us if you are pregnant.

Relationship to child/children You need to tell us what your relationship to the child is.

Parent or carer 2

Title

First name(s)

Last name

Address

Postcode

Telephone

Date of birth

Are you pregnant?YesNo

Relationship to child or children

Register for a Children's CentreEditIncomplete
Children under fiveEditNot Started
Family and householdEditNot Started
Other informationEditNot Started

1 of 4

5017f8d56d556c17d7a2c7b9d34ae13d1a3d960c

Confirm

Found draft

Found drafts

Existing form data found

Form Submitted

Review Form Validation Messages

Unable to complete action

Confirmation

Insert Above
Insert Below
Move Up
Move Down
Remove Line