Booking form for Spring Term

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This booking form is for new children wishing to start in Spring term (January 2026)

Child's Full Name *

Child's D.O.B *

Parent's Full Name (Including Title) *

Parent's Contact Number *

Parent Email Address *

Full Address including Postcode *

Does your child have any siblings? *

Yes

If yes, do they attend Parkside school?

Yes

Clear selection

Sessions

Please tick your preferred sessions

8:45-11:45

11:45-2:45

2:45-3:30

Monday

Tuesday

Wednesday

Thursday

Friday

Extra curricular activities

I wish for my child to participate in extra curricular activities

Is there flexibility on these days to be altered if unavailable? *

Yes

Preferred start date *

Does your child attend another setting now or will they attend another setting alongside Parkside? *

Yes

Funded Place

Please follow this link for further information if you are unsure of funding options: www.childcarechoices.gov.uk

Please be aware that once offered a space at Preschool, we will need to see an original copy of your child’s ID and will ask you to complete the declaration for funding in order for us to claim this.

Are you eligible for the following funded place?

9 month plus (30 hours)

2 yr old working families funding (15 hrs)

2 yr old funding (15 hrs)

3 and 4 year old Universal funding (15hrs)

3 and 4 year old universal funding (30 hrs)

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Medical Details

We need to know about any medical conditions your child may have. Please tick relevant boxes.

Asthma

Eczema

Epilepsy

Hayfever

ADHD

ASD

Dyslexia

Dyspraxia

Colour Blindness

Eyesight problems

Hearing problems

Diabetes

Other:

If your child has any allergies, dietary requirements or food intolerances then please provide details.

Does your child have Special Educational Needs? *

Yes

If you have answered yes to the above, please information below

Does your child have contact with any outside agencies (or on the waiting list for) e.g. Children’s Centre Keywork, Speech Therapy, Social Services, Early Years Special Need Support, Early Years Emotional and Behavioural Intervention Service?

Please tick this box to say you have read and agree to the Privacy Notice (how we use children’s information) and Terms and Conditions. *

Confirm

Required

Name completing form *

Date of completing form *

YYYY

Submit

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