Child Child's Full Name* Gender BoyGirlPrefer not to sayOther Date of birth* Home Phone* Parent or Guardian Parents/Guardians names Mother: Father: Home Address Mother: Father: Occupation Mother: Father: Preferred contact number Mother: Father: Email Mother: Father: Attendance Preferred start date (by term) Preferred times of attendance: Full Day – Monday to Thursday, 8:45am–3:00pm, and Friday 8:45am–12:00pm Mornings – Monday to Friday, 8:45am–12:00pm Mornings Plus – Monday to Thursday, 8:45am–1:00pm (with lunch), and Friday 8:45am–12:00pm Afternoons – Monday to Thursday, 1:00pm–3:00pm Has/does your child attended any other nurseries? YesNo Will your child be attending any other nurseries? YesNo When would you like to visit?* Confirmation I/we confirm that I/we have read, understood and retained the information attached to this form and that our signature(s) below is our acceptance of these terms and conditions. Signature Date Please enclose or transfer the registration fee of £125.00. This must be paid before your child can be placed on the waiting list. Please note: Acceptance onto the waiting list does not guarantee a place. Δ
