Whipton Barton
Federation

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Apply for a Nursery or Pre-School place

Apply for a Nursery or Pre-School place

Please enter The childs Name*

Select the childs ageNot yet Born0-12 monthsOne year oldTwo years oldThree years oldFour years old

Select the Childs Date of Birth*

Select the gender of the childGirlBoyOtherPrefer not to say

Parent Telephone number* Parent email address* Please enter the Childs Address* Please enter the Town or City Please enter the Post code* Parent/Carer names (Parent 1)* what is their relation to the child* Parent/Carer names (Parent 2) what is their relation to the child What languages are spoken at home?*

Do you require a translatorYesNo

Names and ages of other children in the family Are there any social or medical details that we should be aware of? Name and address of current Nursery (if relevant) Requested start date*

Entitled to funding*2 year oldextended 3 year oldnone

Please enter funding code* Please add which sessions you would like*