Home
About Us
School Register
Parent Register
News
Contact

School’s Register

This form is for the use of day care providers who provide milk to children under the age of 5, in care for two hours or more per day

* indicates required field

Childcare Setting Details

Please give the full name of either the childminder or the day care setting applying:

Please give the address where the children will be cared for:

Title

First Name

Last Name

Contact Position

Contact Telephone Number (including area code)

Contact Mobile Number

Contact Email Address

Certificate of Registration Number (if applicable)

Additional Details

Normal number of days in the week children attend?

2
3
4
5
6
7

How many children under five attend your setting in the afternoon only?

How many children under five attend your setting in the morning only?

Please state duration of the day care sessions? (minimum of 2 hours)

Maximum number of children, aged under five, per day care session.

Have you taken over this daycare business from someone else?

Yes
No

Does another body (other than the local authority) claim for your milk on your behalf?

Yes
No

If yes, please name the body.

Declaration

You must complete the declaration below.*

I understand that I can claim 1/3 pint of heat-treated cows milk for each child under 5 who attends this setting for two or more hours a day.
For children under one this will be given as infant formula milk.
I understand that children who stay the whole day are entitled to one 1/3 pint drink of milk only.
I agree to follow the rules of the Nursery Milk scheme and declare that information given on this form is true and complete.

CAPTCHA Code:*

Home
About Us
School Register
Parent Register
News
Contact