Kingsdown Provision Request Form
The Kingsdown Provision currently runs Monday - Friday 12:00 - 15:00 and is open to all eligible students, unfortunately we can not provide an ad hoc booking provision, a request is to attend daily.

Please complete this form if you require a place at the Kingdown Provision and if you are eligible (see below for criteria)

You will need to complete the form for each student.
First name of student *
Surname of student *
Year Group *
Do you require a place at the Kingsdown Provision (daily) from 8th June? *
Which eligibility criteria do you meet? (tick all that apply) *
Please detail any dietary needs/allergies
I confirm that I am the parent/carer and agree to ensure that the named student attends the setting each day (or will report absence in the usual way)
I understand that the named student must bring a water/drinks bottle each day and their own pencil case
I will ensure that I inform the named student to adhere to all social distancing rules to and from the setting, and all safety procedures while on site.
How will the named student travel to and from the setting? *
Is the current provision (12:00 - 15:00) enough to meet you/your child's needs?
Any other comments?
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