Nursery waiting list application form

Windmill Hill City Farm nursery waiting list application form
Please fill out this application form to add your child to our nursery 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

Please indicate which times you would like your child to attend our setting. Times are divided into ‘sessions’. A session may be a morning (8am or 9am to 1pm) or an afternoon (1pm to 5pm or 6pm).

There are three steps:

1) Indicate how many sessions in total you are seeking (minimum 3 sessions).

2) Indicate which are your preferred times.

3) Indicate 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. This will be calculated for you and will need to be paid prior to your child starting.
Please state the maximum number of sessions required?
1 whole day = 2 sessions
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.
Sign to confirm.

Pay Admin Fee

Admin Fee

£20.00

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Please verify that you are not a robot
The admin fee is non-refundable
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Windmill Hill City Farm nursery waiting list application form

Guardian 1 Information

Guardian 2 Information

Child Information

Sessions

Session Options

Which are your preferred times?

Which times would you consider?

Declaration

Pay Admin Fee*

Pay Admin Fee