Application form - 2019
Please complete and send this form as a soon as possible to receive a start date for your child. Start dates are usually offered at the start of each term.
Email address *
Child's First Name *
First name
Child's surname *
Child's date of birth *
MM
/
DD
/
YYYY
Contact Telephone Number *
Parents/Carer responsible *
Parent first name
Parent Surname
Address
Names of children already attending Rainbow, if applicable.
Session Hours
Please tick the sessions you require (min 3 sessions per week). Sessions not included in your child’s funding will cost £5.35 per hour.
9am - 12pm
9am - 1pm
9am - 3pm
Monday
Tuesday
Clear selection
9am - 12pm
9am - 1pm
N/A
Wednesday
Thursday
Friday
Clear selection
Additional Comments
Confirmation *
We will notify parents of your child’s allocation by email. Places must be accepted in writing (by email) within 7 days of receiving confirmation. Failure to accept your child’s allocation by this time will result in the place being reallocated.
Required
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