Application Form

All information contained in this form will be treated in the strictest confidence

 

75 required with all new applications)


DETAILS OF CHILD


DETAILS OF PARENT(S)

PARENT ONE
PARENT TWO (IF APPLICABLE)

CONTACT INFORMATION


APPLICATION DETAILS

EXPECTED ATTENDANCE REQUIRED FOR CHILD

Please type in the from and to times for each day of attendance. To check fees then use our calculator.

Please select a nursery first.

Attendance
Hours Required
Total Daily Hours
From Time
To Time
Monday
Tuesday
Wednesday
Thursday
Friday
Weekly Totals
(see Terms)

Check this button if you intend to use employer provided salary sacrifice childcare vouchers to pay for part or all of you childcare. NB Even if paying entirely by nursery vouchers we still require you to complete a direct debit to cover any extra sessions, etc.


To complete your application for a Free Nursery Place you must download and complete a County Council application form by clicking this link.