Book a Visit

Your Child's Name

Your Child's Date of Birth

Your Name

Your Address

Your Postcode

Your Telephone number

Your email

I/We would like our child to attend on the following days/sessions:
Monday AMMonday PMTuesday AMTuesday PMWednesday AMWednesday PMThursday AMThursday PMFriday AMFriday PM

Will your child be eligible for the following (see www.childcarechoices.gov.uk for information):
2 year old funding2 year old funding (for working parents)3 & 4 year old funding (15 hours)3 & 4 year old funding (30 hours)

This application places your child on our waiting list. We will contact you as soon as a suitable place becomes available. Please note that completion of this form does not guarantee a place for your child.
Once your child is offered a place and you accept it, on admission further information and family details are required for our records. Your child's birth certificate is required at this point with a copy made for our file.
If you find that you no longer need the place, please inform me as soon as possible. Should you decide you no longer need the place we will not retain the details on this application form (see our privacy notice).
Please note: we will need this information signed on a paper copy when you arrive at the nursery.