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Email *

Child's First Name *

Child's Last Name *

Child's Date of Birth *

YYYY

Parent's First Name *

Parent's Surname *

Address *

Postcode *

Telephone Number *

I would like my child to attend:

(Please tick any of the following options that apply)

'Dino-Mites' playgroup for 3 year-olds on Tuesday & Thursday

'Dino-Mites' playgroup for 3 year-olds on Monday, Wednesday & Friday

daycare for 3-4 year olds

a funded place five mornings each week during my child's pre-school year

breakfast club

after-school

holiday care

Comments

Please enter any comments or queries in the space below

Registration Fee £10

Please make a payment of £10 via bank transfer to the following account.

Account Name: Carryduff Pre-School Playgroup
Sort code: 98-00-55
Account Number: 84866034
Reference: Use child's name

Payment due on registration

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