Pomfrett Cottage Nursery

Registration Form
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REGISTRATION FORM

 

We can offer the following attendance options for your child: * delete as appropriate*

 

Option 1          08.50 - 15.00               Bring own *lunch box or *school dinner

Option 2          08.50 - 12.00               Fruit snack provided by parent 

Option 3          12.00 - 15.00               Bring own *lunch box or *school dinner

Each child can attend one to five sessions a week although we do suggest two or three sessions would be most

beneficial to start with.


NAME OF CHILD       ………………………………………..................

Male/Female

DATE OF BIRTH        ………………………………………..................

PARENTS NAME      ………………………………………..................

ADDRESS                  ………………………………………..................

………………………………………..POSTCODE……………………..

HM TEL  …………………………….MOBILE…………………………..

EMAIL ..................................................................................................

 

Please indicate below the options you would prefer your child to attend.

(Although we cannot guarantee your child will be offered the days of your choice

we will do our best to ensure we try to meet your requirements).

 

Mon

Tue

Wed

Thur

Fri

Option 1

 

 

 

 

 

Option 2

 

 

 

 

 

Option 3

 

 

 

 

 

 

Start Months are Sept & Jan only:   Sept 2018 Jan 2019 Sept 2019 Jan 2020  Sept 2020 (circle) 

I enclose a non-returnable fee of £40.00 for my child's registration.

(Cash or Cheque, cheques should be made payable to: Pomfrett Cottage Nursery)

I understand that accepting a place at Pomfrett Cottage Nursery this does not guarantee

a place for my child at Chennestone Primary School.

 

Signed (parent)…………………………….....................Date:…………….……………........

 

FOR OFFICE USE ONLY

 

Mon

Tue

Wed

Thur

Fri

Option 1

 

 

 

 

 

Option 2

 

 

 

 

 

Option 3

 

 

 

 

 

Please print this form and send it to :
Pomfrett Cottage Nursery, c/o Chennestone County Middle School, Manor Lane, Sunbury On Thames, Middlesex TW16 5ED