Please complete this registration application form if you would like to apply for a place at our nursery for your child/ren.

You can apply for up to three children using this form as long as you are the parent/guardian for all of them and they all live at the same home address. Please make sure that you select the correct number of children – the forms for a 2nd or 3rd child will only open up if you select 2 or 3 children!

Prefer to fill in a paper form?

That’s no problem – click one of the buttons below to download either a Microsoft Word or PDF file, whichever you prefer.

Application Form: Microsoft Word
Application Form: PDF File
*Whilst every effort will be made to meet your requirements, please be aware that we may not be able to offer you your specified days and times due to practicality or availability.

Also please note that the following documents will be needed to register your child with us:

  • Birth certificate
  • Personal child health record (RED BOOK)

Parent/Guardian

You can use this form to apply for up to three child places per parent/guardian. The parent/guardian details and home address must be the same for all children. If there are different home addresses or parent/guardian details, a separate form must be completed for each child.

Important Note - Please Read

  1. A free early learning place does not guarantee a place at your preferred childcare provider- there will need to be a vacant place.
  2. If the childcare provider has a vacant place, they will register your child and keep your eligibility letter with your child’s records
  3. Notice must be given to providers before changing or exiting your free place. You will need to discuss notice periods with your childcare provider beforehand. Your eligibility letter will be returned to you once your notice has been served.

About Child 1

Gender *
Days/Sessions per Week

Ethnic Monitoring

Ethnicity/racial origin of child: Please choose ONE of the following.

Ethnicity

About Child 2

Gender *
Days/Sessions per Week

Ethnic Monitoring

Ethnicity/racial origin of child: Please choose ONE of the following.

Ethnicity (C2)

About Child 3

Gender *
Days/Sessions per Week

Ethnic Monitoring

Ethnicity/racial origin of child: Please choose ONE of the following.

Ethnicity (C3)
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