Application Form

Please fill in the form below and send to us. We will get back to you as soon as possible.

Parent Details
Title:	Mr Mrs Ms Miss Other
Fore Name:
SurName:
Address:
Email:
Postcode:
Telephone No:
Mobile No:
Work Details
Company Name:
Address:
Postcode:
Telephone No:
National Insurance No:
Child Details
Fore Name:
SurName:
Date of Birth:
Sex:	Male Female
Religion:
First language:
Attendance Details
Time:	Part Time Full Time
If Part-Time Please Enter The Times For The Required Days Below
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Enter the code shown above:

Four weeks notice is required when your child is leaving the nursery. In absence of this notice you will be liable for four weeks fees.

Fees are paid in advance. Failure to pay the fees in advance will result in the child being excluded from nursery until the arrears have been paid.

A non-refundable administration fee of £50.00 is required with this application.

A refundable deposit of £100 is required with this application.

A refundable deposit of £5.00 is required to obtain a door entry key fob.

Failure to pay either the administration fee or deposit may result in your child’s place being revoked.