Application to join
| Personal details | |||||||||||||||||
| First name(s) of child: | |||||||||||||||||
| Surname of child: | Date of birth: | ||||||||||||||||
| Full address: | |||||||||||||||||
| Postcode: | |||||||||||||||||
| Parent/carer name (1): | |||||||||||||||||
| Relationship to child: | |||||||||||||||||
| Full address (if different): | |||||||||||||||||
| Email: | Postcode: | ||||||||||||||||
| Daytime/work tel: | Home: | Mobile: | |||||||||||||||
| Parent/carer name (2): | |||||||||||||||||
| Relationship to child: | |||||||||||||||||
| Full address (if different): | |||||||||||||||||
| Email: | Postcode: | ||||||||||||||||
| Daytime/work tel: | Home: | Mobile: | |||||||||||||||
| Session request | |||||||||||||||||
| Preferred start date: | |||||||||||||||||
| Please tick the sessions you would like your child to attend: | |||||||||||||||||
| Morning session (8.45am – 11.45am) | □ Monday | □ Tuesday | □ Wednesday | □ Thursday | □ Friday | ||||||||||||
| Pre-School Day (9am – 3pm) | □ Monday | □ Tuesday | □ Wednesday | □ Thursday | □ Friday | ||||||||||||
| Full Nursery Day (8am-5pm Monday-Thursday, 8am-4pm Friday) | □ Monday | □ Tuesday | □ Wednesday | □ Thursday | □ Friday | ||||||||||||
| Breakfast (8am – 9am) | □ Monday | □ Tuesday | □ Wednesday | □ Thursday | □ Friday | ||||||||||||
| Early start (8.30-9am) | □ Monday | □ Tuesday | □ Wednesday | □ Thursday | □ Friday | ||||||||||||
| Late stay club (3pm-5pm hourly spaces) | □ Monday | □ Tuesday | □ Wednesday | □ Thursday | □ Friday | ||||||||||||
| Please note that completion of this form does not guarantee a place for your child
This application places your child on our waiting list. We will contact you as soon as a suitable place becomes available. Once your child is offered a place and you accept it, on admission further personal 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. Home visits are part of our registration procedure. This will be discussed once a place for your child becomes available. If you find that you no longer need the place, please inform us 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). |
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| Signed parent/carer (1): | Date: | ||||||||||||||||
| Signed parent/carer (2): | Date: | ||||||||||||||||
| Please be advised that this application form and offer of a place is subject to our terms and conditions provided to you. By signing this document, you acknowledge that you have read, understood and agree to these terms and conditions. | |||||||||||||||||
Contact us: admin@little-bumbles.co.uk / 01829 730001
Manager: Samantha Edge
