Admissions

CHILD'S INFORMATION

First Name:*

Middle Name:

Last Name:*

Date of Birth*

Gender*

Male

Female

Nationality:*

Qatar ID Number*

Qatar ID Expiry*

FATHER'S INFORMATION

Full Name:*

E-mail Address:*

Work Address:*

Qatar ID Number:*

Qatar ID Expiry:*

Primary Contact Number:*

Employer:*

Occupation:*

Work Phone:*

MOTHER'S INFORMATION

Full Name:*

E-mail Address:*

Work Address:*

Qatar ID Number:*

Qatar ID Expiry:*

Primary Contact Number:*

Employer:*

Occupation:*

Work Phone:*

Your Website*

EMERGENCY INFORMATION

Emergency Contact Person Responsible if Parents not Available:

Contact Person 1:

Full Name:*

Primary Contact Number:*

Address:*

Relationship to the child:*

Contact Person 2:

Full Name:*

Primary Contact Number:*

Address:*

Relationship to the child:*

HEALTH CONDITIONS

Tell us about your child's Health Conditions, Allergies, Dietary requirements, or any other major illnesses or surgeries in the last 6 months

Does your child have any of the following Health Conditions?*

Yes

No

Allergies?*

Type N/A if not applicable

Asthma?*

Type N/A if not applicable

Dietary requirements?*

Type N/A if not applicable

Febrile convulsion?*

Type N/A if not applicable

Any other major illnesses or surgeries in the last 6 months that we should be aware of?

Sickness:*

I hereby agree to keep my child home if they have any of the following symptoms: Fever, Runny Nose, Cough, Hand/Foot/Mouth Disease Head Lice. I agree that my child needs to have a doctor's note with a clear diagnosis that they are fit to return to the nursery.

I Agree

Medicine:*

I hereby consent/don't consent to the nursery's registered nurse administering over-the-counter type medications to my child.

I consent

I do not consent

Consent for Emergency Treatment:*

In the case of my absence, I hereby consent to Clover Leaf Nursery in obtaining emergency medical or surgical treatment as prescribed by the attending physician, and I give permission for my child to be transported with the staff to the emergency center for treatment.

I consent

I do not consent

OTHER CONSENTS

Photo Consent:

I give my permission to the nursery for the following:

I give consent to use my child's photo for advertising purposes

Arabic and Islamic Studies Consent:

I hereby give my permission for my child to participate in taking Arabic Classes and Islamic Lessons.

I give consent for Arabic Language Class

I give consent for Islamic Studies

ADMISSION DOCUMENTS

Admission Documents, Opening Hours & Fees Consents

Require Admission Documents:

Copy of Birth certificate
Copy of Vaccination records
2 Recent passport-sized photographs
Copy of the child’s valid Health Card
Original Health Record
Copy of the Child's valid passport & Qatari ID
Copy of valid Father's passport & Qatari ID
Copy of Mother’s valid passport & Qatari ID

IMPORTANT INFORMATION: You must upload the documents to a Google Drive or Dropbox folder and share the link below so that we could download the documents.

How to upload to Google Drive and share the link: View the video
How to upload to Dropbox and share the link: View the video

Google Drive or Dropbox link:

Opening Hours

The Nursery's Opening hours are Sunday to Thursday as follows:

Normal Hours: 7am - 3pm
Sunrise Club: 6:30am - 7am
Sunset Club: 3pm - 4pm

Parent’s Name:*

Date Submitted:*

Consent*

I agree

(By ticking "I agree" this will serve as your signature of agreement)

Please type the characters*

This helps us prevent spam, thank you.

Normal Hours - 7am - 3pm	:	Sunday to Thursday
Sunrise Club - 6:30am - 7am	:	Sunday to Thursday
Sunset Club - 3pm - 4pm	:	Sunday to Thursday

Nursery Registration

CHILD'S INFORMATION

FATHER'S INFORMATION

MOTHER'S INFORMATION

EMERGENCY INFORMATION

HEALTH CONDITIONS

OTHER CONSENTS

ADMISSION DOCUMENTS

Require Admission Documents:

Opening Hours