Placement Acceptance Form

Placement Acceptance Form

William Rose Nursery
Today's Date*

DayMonthYear
Date
Child Name*

First NameLast Name
Parent 1, Name

First NameLast Name
Parent (1) E-mail:*
example@example.com
Parent (1) Mobile Number*
Please enter a valid phone number.
Parent (2), Name

First NameLast Name
Parent (2) E-Mail
example@example.com
Agreed Child Start Date

DayMonthYear
Date
Once approved by the Nursery Manager, please select the class type and the number of days per week below.
Observers class
aged 12 months - 2 years
Explorers class
Aged 2-3 years
Inventors class
Aged 3-5 years
Terms & Conditions: Securing placement with Deposit & Registration fee

Refundable Deposit and Registration fee

Upon submission of this form, please deposit the sum of £300.000 with your child's name as reference

to: WRN GROUP LTD
Account number: 17987761
Sort code: 04-06-05

This fee comprises of

£250 refundable deposit: Upon exiting William Rose, your deposit will be returned to you, providing we receive at least 2 calender months notice.

£50.00 non-refundable registration fee applies to this placement agreement.

Placement duration changes

For any placement alterations, your request must be stated in writing to the nursery manager. Upon agreement, two calender months notice will apply to any placement changes to come into effect.

Registration and contract

Following the completion of this placement agreement, a nursery registration and contract document will be sent to you via email. Please ensure this is completed within two weeks of receipt.
I agree to the above*

Agree
Parent 1*

Clear
Parent 2

Clear
Should be Empty: