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Registration Form

 
Gender
Boy
Girl
Prefer not to say
Other
Date of birth

Designated persons authorised to collect your child (on receipt of specific instructions only)

Health & Medical

Name & Address of Family Doctor

Attendance

Preferred start date (by term)

Preferred times of attendance:

Morning
Afternoon
Has/does your child attended any other nurseries?
Yes
No
Will your child be attending any other nurseries?
Yes
No

I/we confirm that I/we have read, understood and retained the information attached to this form and that our signature(s) below is our acceptance of these terms and conditions.

Date

Add your text

Please enclose or transfer the registration fee of £75.00 which must be paid before your child can be put on the list and it is.


Please remit to: Nat West, Beckett House Limited.


Sort Code: 60-18-20

Acc. No: 96849401


Please note:

Acceptance onto the waiting list does not guarantee a place.

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