Online admission form

Chuckle & Buckle Playschool & Daycare

Fields marked * are required. We’ll use these details for admission, communication and your child’s safety.

Step 1 of 3Your child

1. Your child

Child’s full name *

Date of birth *

AgeCalculated from date of birth

Gender *

MaleFemalePrefer not to say

Applying for *

PlaygroupNurseryDaycareOther

2. Family and child’s needs

Father / guardian full name * Mother / guardian full name * Primary mobile number * Alternate mobile number Parent / guardian email (optional) Residential address * City / area Father / guardian occupation Mother / guardian occupation

Known allergies *

NoYes

Toilet trained?

YesNo

Transport required?

YesNo

Any cognition, behavioural or language issues?

NoYes

3. About your choice and consent

Why are you choosing Chuckle & Buckle?

How did you hear about us?

Instagram / FacebookGoogleReferralOther

I/We declare that the information in this form is true and complete. I/We understand that admission depends on eligibility, availability and the school’s policies, and will inform the school if our child’s details change.

I/We authorise Chuckle & Buckle Playschool & Daycare to use this information for admission, student records, parent communication, safety and emergency purposes in accordance with applicable privacy requirements.

Parent / guardian name * Date *

Need help with your admission? Call +91 84919 21749.