Application Form
Parents Name
First Name
Last Name
Address
House Number/Name
Street
Town
Region
Post code
Child's
Child's Full Name
Date of birth 00/00/00
Gender Male/Female/Don't know yet/other
Child's
Child's Full Name
Date of birth 00/00/00
Gender Male/Female/Don't know yet/other
Child's Address
House Number/Name
Street
Town
Region
Post code
Telephone numbers
-
House
mobile
Email Address
Signature
Back
Next
Parent/ Guardian 1 Workplace
Workplace Telephone Number
Parent/ Guardian 2 Workplace
Workplace Telephone Number
Back
Next
Where did you hear about us
Playbarn Nursery Facebook page
Instagram
Google
Care Inspectorate Website
Friend
Family
Other siblings attended Playbarn
Other
If other please expand?
Have you been to view/enquired at other nurseries in the area prior to applying to Playbarn?
Yes
No
No space at other setting at this time
Joining another setting later
Other
If other please explain
Back
Next
Our sessions are full days for the majority of the children however we do have limited morning and afternoon sessions available. Would you prefer:
Morning session 8.45am-11.45am
Afternoon session 1.15pm-4.15pm
Full day 8.45am - 4.15pm
Combination place of both half days and full days
Other
Session Preferred (if full days are required please select am and pm)
Monday am (8.45am - 11.45am)
Monday pm (1.15pm - 4.15pm)
Tuesday am (8.45am - 11.45am)
Tuesday pm (1.15pm - 4.15pm)
Wednesday am (8.45am - 4.15pm)
Wednesday pm (1.15pm - 4.15pm)
Thursday (8.45am - 11.45am)
Thursday (1.15pm - 4.15pm)
Friday (8.45am - 11.45am)
Friday (1.15pm - 4.15pm)
If other please expand
We aim to settle over a minimum of 4 weeks or more what would be your preferred initial visit date?
00/00/00
What would be your preferred start date?
Does your child(ren) require additional support, are they under referral to GP, Health visitor or other service?
Back
Next
What language is spoken at home?
Does your child have siblings?
Do you require childcare for work purposes or for their social development?
Have you considered your childcare as your child grows?
My child may be eligible for a 2 Nurture place when they are Two years old, my family meet the criteria.
My child is enrolled in another setting at two years old.
My child will remain at Playbarn as a funded Ante Preschool (3 years old).
My child will attend another private/school setting for their funded Ante Pre space (three years old).
My child will remain at Playbarn for their funded Ante Pre space (three years) and for Pre-School space (four years old).
My child will remain at Playbarn for their funded Ante Pre space (three years) and move to school (local authority) setting for Pre-School space (four years
Other
If you answered other please expand.
Continue
Continue
Should be Empty: