Expression of Interest Dewhurst Nursery Form
Please fill out your child's details and preferred admission date.
Child's Name
*
First Name
Last Name
Child's Date of Birth
*
/
Day
/
Month
Year
Date
Child's Gender
*
Male
Female
Other
Parent/Guardian Name
*
First Name
Last Name
Relationship to Child
*
Mother
Father
Guardian/Carer
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: 00000 000000.
Parent/Guardian Email Address
*
example@example.com
Preferred Start Term
Children can start the term after they have turned 3 eg. Child turns 3 in July would start September
When would you be looking to start?
*
September 2026
January 2027
April 2027
September 2027
Entitlement to Free Hours
All families are entitled to 15 hours free childcare for 3-4yr olds
Are you entitled to just the Universal free 15 hours or 30 hours free (Both parents must generally earn at least the minimum wage for 16 hours a week) https://www.gov.uk/free-childcare-if-working/check-youre-eligible
*
15 free hours
30 free hours
15 free hours but would be interested in paying for additional sessions
Please provide more details
Does you child currently attend any childcare settings?
No
Yes (please specify below)
If yes, please provide details
Does your child have any special educational needs or additional information (eg medical /allergies)?
Submit Admission
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