Application for a Place in Prudhoe West Academy 2 Year Olds Unit
Our 2 Year Olds Room operates in conjunction with our Shining Stars Kids’ Club offering childcare from 7.30am – 6pm term time.

We offer both funded and privately paid for places.

For further information about session times and prices please contact the school office.

Email address *
Name of Child
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
Home Address
Your answer
Name of Parent 1
Your answer
Name of Parent 2
Your answer
Home Telephone Number
Your answer
Mobile Telephone Number
Your answer
Email Address
Your answer
Other Children in the Family? Names, Ages and Schools (If applicable)
Your answer
Present arrangements for supervision of child during the day
Your answer
Please give any details of any Nursery/Playgroups or Mother and Toddler Groups attended
Your answer
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