Nursery Enquiry Form

Please fill in the form below.

Child's full name.* Child's date of birth.* Your name.* Your email address.* Your contact number.* Your relationship to the child.*

(Type 'Yes' into your desired timeslots and days into the section below)
	8:45 - 11:45(AM)	12:45 - 3:45(PM)	8:45 - 3:45 (FULL DAY)
Monday
Tuesday
Wednesday
Thursday
Friday

If staying for lunch, would you like us to provide a hot dinner? Do you require CHAMPS Breakfast provision 7:30-8:45? Do you require CHAMPS After Nursery provision until 18:00? When would you like your child to start?* Are you eligible for funding? If so, is it 15 hour or 30 hour funding? Anything else you would like us to know?