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Nursery Hours Application 2023/2024
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Child Name: ___________________________________________________________
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Parent Name: _________________________________________________________
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Date:
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Eligible Funding:
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Eligible? (Please Tick)Funding TypeNumber of Hours
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2 Year Old Funding (15 Hours)*15
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3-4 Year Old Funding (15 Hours)15
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3-4 Year Old Funding Extended (30 Hours)*30
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(*funding is subject to eligibility code)
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Validation Code:_______________________________________
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Requested Hours (please tick):
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Early AM 8am-8.45AM 8.45- 11.45Lunch 11.45- 12.15pmPM 12.15-3.15Late PM 3.15 - 6.00
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Thur
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Fri
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Your child must attend a whole session. Sessions cannot be split.
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