Change of Details for Nursery Nursery Change of Details Change of details for the nursery Name of account holder(Required)I am the account holder and I have permission from the person who I have named to make changes to my child's details(Required) I consent to the changes made Name of Child(Required)Child Date of Birth(Required) Day Month Year Nursery Attended(Required)ShrewsburySusan LawrenceDo you want to add another child? Yes No Name of ChildChild Date of Birth Day Month Year Details I would like to change Address Telephone Number Emergency Contact Email Address Other Name of person whose address is changingNew Address Street Address Address Line 2 City Post Code Date Effect From(Required) Day Month Year Name of person whose telephone number is changingNew Telephone NumberDate Effect From(Required) Day Month Year Emergency Contact Details to Change Remove an emergency contact Add another emergency contact Amend details of an existing emergency contact Name of Contact to RemoveRelationship to ChildName of Contact to AddContact NumberRelationship to ChildAmended NameAmended Contact NumberRelationship to ChildDate Effect From(Required) Day Month Year Date Effect From(Required) Day Month Year Date Effect From(Required) Day Month Year Current Email New Email Date Effect From(Required) Day Month Year Other Details to ChangeDate Effect From(Required) Day Month Year Proof of IdentityPlease upload a photographic proof of identity (e.g. Driving licence, passport etc)Max. file size: 1,000 MB.
