NEW CHILD REGISTRATION FORM

CHILD'S DETAILS

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NURSERY PREFERENCE

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Please tick the days you need

PARENT / CARER 1

Parental Responsibility
Bill Payer

PARENT / CARER 2

Parental Responsibility
Bill Payer

DOCTOR'S DETAILS

On receipt of your registration form, you will be issued with a non-refundable registration fee of £40. Please note that your name will not be included on the waiting list until payment is received. If you have any queries, please contact our accounts department on 0208 672 7549.

The information that you provide on this form will be used to process your application for a placement and stored securely in line with GDPR.