Parent Contact Details

Name of child*

First Last

Child's date of birth*

Name of Parent*

First Last

Home Address*

Street Address Address Line 2 Town County Postcode Country

Phone*

Email*

Enter Email Confirm Email

Date of Application

Preferred Sessions

Please kindly note we have a minimum attendance of 2 Full Days each week. Please let us know if you have any flexibility in your chosen days, as this can be helpful to know when we are checking availability. This information can be added in the 'How did you hear about us?' box

Monday

Tuesday

Wednesday

Thursday

Friday

Date childcare is required

Previous Childcare

How did you hear about us?

On receipt of your information we will contact you to acknowledge receipt. Our busiest age groups are babies and the pre-school and there can sometimes be a waiting list. However we will be in touch to let you know how soon we are able to accommodate you. Once a place has been offered, a deposit is required within 7 working days to secure those sessions. The deposit is £100 which is deducted from your first invoice. Should your child subsequently not take up the place this deposit is non-refundable.

If you find that you no longer need the place, please inform us as soon as possible and we will not retain the details on this application form.

I agreed the above statment*

Yes

Preferred Sessions

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