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
Your answer
Child's surname *
Your answer
Child's date of birth *
MM
/
DD
/
YYYY
Contact Telephone Number *
Your answer
Parents/Carer responsible *
Parent first name
Your answer
Parent Surname
Your answer
Address
Your answer
Names of children already attending Rainbow, if applicable.
Your answer
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
9am - 12pm
9am - 1pm
N/A
Wednesday
Thursday
Friday
Additional Comments
Your answer
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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