Child's Name *

First Name

Last Name

Male / Female *

Male

Female

Date of Birth *

MM

DD

YYYY

Mother's Name *

First Name

Last Name

Father's Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mobile (Mother) *

(###)

###

####

Mobile (Father) *

(###)

###

####

WHICH TERM WOULD YOU LIKE TO START NURSERY? *

SEPTEMBER

APRIL

JANUARY

MORNING SCHOOL (2-4yrs) 9am - 1pm (8am early drop off available) *

NOTE: Minimum of 3 mornings required for two year olds, and 5 mornings for three year olds

Monday

Tuesday

Wednesday

Thursday

Friday

Optional early drop off - 8am

Monday

Tuesday

Wednesday

Thursday

Friday

AFTERNOON SCHOOL (2-4yrs) 1pm - 3:30pm

This selection will be for the initial term, thereafter afternoons can be added

Monday

Tuesday

Wednesday

Thursday

I understand that my selected preferred days are subject to availability and will be confirmed the term before my child starts. I understand that the school fees are payable in advance and that if I wish to cancel the place for my child for any reason; I am required to give a term's notice in writing or pay the full term's fees in lieu. I understand a non-refundable deposit of £900 will be due one year in advance to secure the place. (This will be credited against the final term’s fees before leaving for reception or with one term’s written notice given, following your actual start date.) I understand that by paying the deposit, I agree to the start date as per the offer letter and that the start date cannot be deferred, unless upon advice of the Head in terms of school readiness for very young children. *

Please tick here to agree to these terms

Print Name as signature *

First Name

Last Name

Date Signed *

MM

DD

YYYY

£70 Registration fee paid *

Cheque

Cash

Bank Transfer (SORT CODE: 30-94-65 ACCOUNT: 02564125)