Child's name *
Age of child on entry to nursery
( years and months) *
Full day
08:00 - 17:00
Morning
8:00 - 13:00
Afternoon
12 noon - 17:00

Please add the sessions you wish your child to undertake on a regular weekly basis. Early bird and Twilight sessions can be added as necessary.

Signed by parent *
Email address of parent / guardian completing this form. *


Date


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