Place Enquiry Form - Dickory Docks Educational Day Nursery

If you wish your child to be considered for a place, please complete and submit this form. This does not commit you to taking a place, and there is no charge for being on the waiting list. A nursery place offer will be made by the management team by email.

Parent / Carer Details

First Name *

Last Name *

Email *

Confirm Email *

Contact Number *

Child Details

Child First Name *

Child Last Name *

Gender *

Date of Birth *

Proposed Start Date *

Home Address

Address Line 1 *

Address Line 2

City *

County

Postcode *

Attendance

Attendance Option *

Children without grant always attend full time. Children with any grant can choose 38 or 51 weeks.

Sessions Required (8–1pm AM, 1–6pm PM, or select both for whole day) *

Please select all sessions you want your child to attend.

	Mon	Tue	Wed	Thu	Fri
AM (8–1pm)
PM (1–6pm)

Age Group *

Please select the one age appropriate group for your child.

Baby Room (Under 2 years)

Toddler Room (Age 2–3 years)

Pre School (3–4 years)

Holiday Club (Age 5–8 years)

Grant Funding

Grant Funding Type *

Please select what type of funding you want to use. A Funding Code and National Insurance Number are required for every grant except the Universal 15 Hours entitlement.

Funding code deadlines: The funding code must have been issued, before 31 March, 31 August or 31 December to be valid for use at the beginning of the next term. Codes issued after these deadlines cannot be used until the beginning of the term following the next term.

Please Read and Tick Each of the Following

I understand that completing this place enquiry does not constitute availability of a place

The nursery may hold this place enquiry form on file and assess the requirements

A nursery viewing arranged is only to assess the parents requirements and is not for a specific place

A nursery place offer will be made by the management team by email

I accept that I am free to apply elsewhere for a place as well

All sessions are subject to availability, and places are limited

I confirm I have read and accept all the Standard Terms and Conditions

Comment or Message

Rating

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