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Burlish Park
Primary School
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Nursery Enrolment Form
Nursery Enrolment Form
Child's Name
*
Date of Birth
*
Gender
Male
Female
Home Address
*
Telephone
*
Email Address
*
Parents' Names
*
Siblings attending school
Telephone/Address of parent not living at child's home address
Please tick one of the following. I would like my child to start Nursery in
*
September
January
April
What year would you like them to start in?
*
To find out about funded places, please visit childcarechoices.gov.uk . I would like to apply for:
A 30 hour place. The place will be five days a week from 9am-3pm
A 15 hour place. The place will be two and a half days a week Monday and Tuesday 9am-3pm and Wednesday 9am - 12pm
A 15 hour place. The place will be two and a half days a week. Wednesday 12pm-3pm and Thursday and Friday 9am-3pm
I would like to express an interest in buying extra hours subject to availability.
I do not require any of the options listed above. I would like to apply for the following sessions.
If you would like to buy extra hours (subject to availability), please state the hours you would like below.
Please complete this section if your child will start Nursery when they are two years old (in the term of their third birthday).
I am eligible for two year old funding
I am not eligible for two year old funding and understand that I will be invoiced for the Nursery provision
Please complete this section if you would be interested in booking breakfast sessions with Nursery Wraparound.
Monday 7:30am-9am
Tuesday 7:30am- 9am
Wednesday 7:30am- 9am
Thursday 7:30am- 9am
Friday 7:30am- 9am
I would be interested in booking after school sessions with Nursery Wraparound.
Monday 3pm-4:15pm
Monday 3pm-5:15pm
Monday 3pm-6pm
I would be interested in booking after school sessions with Nursery Wraparound.
Tuesday 3pm-4:15pm
Tuesday 3pm-5:15pm
Tuesday 3pm-6pm
I would be interested in booking after school sessions with Nursery Wraparound.
Wednesday 3pm-4:15pm
Wednesday 3pm-5:15pm
Wednesday 3pm-6pm
I would be interested in booking after school sessions with Nursery Wraparound.
Thursday 3pm-4:15pm
Thursday 3pm-5:15pm
Thursday 3pm-6pm
I would be interested in booking after school sessions with Nursery Wraparound.
Friday 3pm-4:15pm
Friday 3pm-5:15pm
Friday 3pm-6pm
I heard about Burlish Park Nursery (please tick one or more option).
I have a child/children that attend Burlish Park Primary School
Through word of mouth
I looked at the website
I live in the area
I used an internet search provider, such as Daynurseries.co.uk
Through social media
Submit
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Nursery Enrolment Form
