Application Form

Please fill in all the details below and it will be submitted to our management team. If any changes to your personal details arise please let us know as soon as possible.

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1 Step 1

Child's Name

Child's Date of Birth

Child's Address

Post Codeyour full name

Mothers Name

Fathers Name

Who has parental responsibility?your full name

Home Number

Mobile Numberyour full name

Emaila valid email

Setting Information

Preferred start dateof appointment

Fees

Reference Numberyour full name

Please note there is a non-refundable registration fee of £25.00 to be paid on submitting this registration form, please note this does not apply to Government funded children.

Item	Qty	Total
Registration Fee	1	25.00

Annual Charge $xxx

	None	AM Session	PM Session	All Day Session
Monday
Tuesday
Wednesday
Thursday
Friday