Child's Name *

Child's date of birth *

Parents Name *

Home Address *

Contact Number *

Contact Email Address *

Days /sessions required

Please state if term time only or all year round are required

Is your child entitled to funding? *

Please state which funding?

Would you like to include nursery hot tea? *

Dietary requirements?

Start Date Required *

We will endeavour to contact you at least two weeks before your required start date to confirm your requirements and availability. Please note that there is no guarantee that your child will be able to have your required start date. If you have any queries in the meantime please do not hesitate to contact us.

The details you provide will be used for communication via email, phone, or mail. Rest assured that we value your personal information and will handle it with the highest degree of care. Your data will not be shared or traded to any external parties.For more information, you can access our Privacy Policy by clicking here

I am happy for my data to be processed

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