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York Campus Nursery – Registration Form

Please complete our registration form, and we will contact you depending on your preferred start date and our availability. Priority is given to existing members, their siblings, and then new children in date order.

Registering early is recommended. When a place is offered, you will be invited to visit with your child.

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Child's first name *
Child's surname *
Place required
 *
Date of birth or due date of birth *
Sex of child *
Nationality
 *
Language(s) spoken
 *
Child’s home address
 *
Telephone number
 *
Name of parent / guardian [1]
 *
Status
 *
Mobile number
 *
Email address
 *
Name of course / University department or place of work
 *
Work contact number [if applicable]
Name of parent / guardian [2]
Status
Clear selection
Mobile number
Email address
Name of course / University department or place of work
 *
Work contact number [if applicable]
Please indicate which sessions you require [if known at this stage, or if you have flexibility].
Funded hours only are subject to provider regulations. Please ask for further details.

Tick all that apply
Monday
Tuesday
Wednesday
Thursday
Friday
Early drop off - 8am to 8.30am
8.30am to 1.30pm
1.30 pm to 6.00 pm
If you don't know specific days, but know how many days a week you will need, please state below
Starting date required
 *
MM
/
DD
/
YYYY
Expected leaving date
 *
MM
/
DD
/
YYYY
Are there any allergies / special needs or requirements that we should be aware of
Would you like to be added to our marketing mailing list?  *
Where did you hear about us? *
Required
Thank you
You should receive confirmation that your registration has been noted within 2 weeks of completing the form. Please note the data on this form will only be used to register your interest in a place at York Campus Nursery and will not be disclosed to third parties.

Tel: 01904 323737 
Email: nursery@york.ac.uk
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