Nursery Registration Form

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Please complete all sections and a member of the office staff will contact you shortly.

Email *

Name of Child *

Child Date of Birth
*

YYYY

Parent/Carer Name
*

Parent/Carer Contact Numer
*

Intended new term intake for your child
*

Autumn Term (September)

Spring Term (January)

Summer Term (April)

Intended year intake for your child
*

2024

2025

2026

Other:

Please select the appropiate option for funding your child's sessions
*

2 Year Old - Working Families - 15 hours

2 Year Old - Families receiving additional government support - 15 hours

3-4 Years Old - Working Families - 30 hours

3-4 Years Old - All Parents/Carers - 15 hours

All hours paid by Parent/Carer

Please indicate if you would be topping up your child's hours with paid sessions
*

Yes

Not Applicable

Have you already obtained a Funding Code? Please insert code if yes

Session Preference

5 x Morning Sessions

5 x Afternoon Sessions

5 x Full Day Sessions

Clear selection

Would you like a tour of our Nursery? *

Yes

Submit

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This form was created inside of Chester-le-Street C.E. Primary School.