St. Mary's Pre-School Application Form
Full Name of Child
*
First Name
Last Name
Childs Date of Birth
*
-
Day
-
Month
Year
Date
Home Address and Postcode
*
Parent/Carer Full Name (1)
*
First Name
Last Name
Relationship to Child
Sessions Preferred
*
Any Sessions
Early Start Monday 8:45am -9:30am
Monday Morning 9:30am-12:30pm
Monday Afternoon 12:30pm-3:30pm
Early Start Tuesday 8:45am - 9:30am
Tuesday Morning 9:30am-12:30pm
Tuesday Afternoon 12.30pm-3.30pm
Early Start Wednesday 8:45am - 9:30am
Wednesday Morning 9:30am-12:30pm
Wednesday Afternoon 12.30pm-3.30pm
Early Start Thursday 8:45am - 9:30am
Thursday Morning 9:30am-12:30pm
Thursday Afternoon 12:30pm-3:30pm
Early Start Friday 8:45am - 9:30am
Friday Morning 9:30am-12:30pm
Friday Afternoon 12:30-3:30pm
Any Additional information you wish to share:
Does the child have a sibling currently attending school in IP4?
*
Yes
No
Has a sibling previously attended St. Mary's Preschool?
*
Yes
No
Name
First Name
Last Name
Email Address
*
example@gmail.com
Home/Mobile Telephone Number
Parent/Carer Full Name (2)
First Name
Last Name
Relationship to Child
Home Address (If different)
Home/Mobile Telephone Number
Email Address
example@gmail.com
When ideally would you like your child to start?
As soon as possible
When they are 3 years old
When they are 2 years old
Date application submitted
-
Day
-
Month
Year
Date
Please refer to
www.childcarechoices.gov.uk
to see what funding you're entitled to.
Submit
Should be Empty: