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Expression of Interest

Child's Name* Child's Date of Birth* Date you would like your child to start Nursery*

Funding*Self FundingGolden Ticket3 Year Old - 15 hour funded3 Year Old - 30 hour funded

Preferred daysMondayTuesdayWednesdayThursdayFriday

Preferred Session Times8am to 1pm1pm to 5.30pm8am to 5.30pm9am to 4.30pm (funded children only)

Parent/Carer Name* Telephone Number* Email* Any further information you would to make us aware of

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