Farm Adventurers waiting list application form

Windmill Hill City Farm farm adventurers waiting list application form
Please fill out this application form to add your child to our farm adventurers waiting list. (Please note that this does not guarantee a place). For each submitted application, a £20.00 non-refundable administration fee will apply. For further information on how we allocate places, please make reference to our admissions policy which can be found on the Windmill Hill City Farm website.

For information on how we use your data, click here.
Child's Full Name*
Include first name and surname
Child's First Name*
Child's Middle Names
Child's Surname*
Child's Date of Birth*

DayMonthYear
Child's Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Postcode*
Guardian 1 Information
Title*
Guardian 1 First Name*
Guardian 1 Surname*
Guardian 1 Contact Number*
Email*

Confirmation Emailexample@example.com
Guardian 1 Address (only enter if different to child's address above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guardian 1 Employment Status*
Other Employment Status
Guardian 1 if you are currently studying or plan to study, please provide a contact name, address, email, and telephone number of the college/university.
Guardian 2 Information
Title
Guardian 2 First Name
Guardian 2 Surname
Guardian 2 Contact Number
Email

Confirmation Emailexample@example.com
Guardian 2 Address (only enter if different to child's address above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guardian 2 Employment Status
Other Employment Status
Guardian 2 if you are currently studying or plan to study, please provide a contact name, address, email, and telephone number of the college/university.

Sessions
Preferred Start Date*

DayMonthYear

Session Options

The service will be available for children aged 2-5 years.
There are two separate session charges for under and over 3-year-olds.
Morning sessions run Monday-Thursday 9-12pm for sixteen children aged 2-5 years (maximum of eight 2–3-year-olds).
Afternoon sessions run Tuesday-Thursday 12-4pm for eight 3–5-year-olds.

Age Group	Day	9.00am–12.00pm	12.00pm–4.00pm
2–3 Year Olds	Monday
	Tuesday
	Wednesday
	Thursday

3–5 Year Olds	Monday
	Tuesday
	Wednesday
	Thursday

Please indicate which times you would like your child to attend our setting.

Indicate how many sessions in total you are seeking (minimum 3 sessions).
Indicate which are your preferred days and times.
Indicate which times you would consider should your preferred sessions not be available.

We will endeavour to allocate your preferred sessions. If these are not available, we will offer you the sessions that you've indicated you would consider. A deposit will be required when you have been allocated a place.

Please state the maximum number of sessions required?*
Please select the age group for your child*

2 - 3 years old3 - 5 years old
Which are your preferred times?
Monday
Tuesday
Wednesday
Thursday
Friday
Which times would you consider?
Monday
Tuesday
Wednesday
Thursday
Friday

2 - 3 year old session times
Which are your preferred times?
Monday
Tuesday
Wednesday
Thursday
Friday
Which times would you consider?
Monday
Tuesday
Wednesday
Thursday
Friday

3 - 5 year old session times
Which are your preferred times?
Monday
Tuesday
Wednesday
Thursday
Friday
Which times would you consider?
Monday
Tuesday
Wednesday
Thursday
Friday

Additional information

Please provide any additional information to accompany your application.0/100
Declaration
I confirm that the information provided in this application is correct to the best of my knowledge.*

I Agree
Sign to confirm.*

Clear

Pay admin fee*

Admin Fee

£20.00

Total

£0.00

Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please verify that you are not a robot*
The admin fee is non-refundable
Should be Empty:

Windmill Hill City Farm farm adventurers waiting list application form

Guardian 1 Information

Guardian 2 Information

Child Information

Sessions

Which are your preferred times?

Which times would you consider?

2 - 3 year old session times

Which are your preferred times?

Which times would you consider?

3 - 5 year old session times

Which are your preferred times?

Which times would you consider?

Declaration