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Nursery Hours Form
Please answer the questions below to indicate which hours you would prefer for your child by Monday 8th April 2024.
* Indicates required question
Email
*
Record my email address with my response
Child's Full Legal Name
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Full Postal Address (Including Postcode)
*
Your answer
Is the child in the care of the local authority?
*
Yes
No
Has the child previously been in the care of a local authority but has since been adopted (or become subject to a residence order or special guardianship order?)
*
Yes
No
Does this child have a statutory statement of educational need or Education, Health and Care Plan?
*
Yes
No
Name of current Nursery setting (if applicable)
*
Your answer
How many "government funded hours" are being accessed in their current nursery setting?
*
Your answer
What date did your child commence in their current Nursery accessing these funded hours?
*
Your answer
Name of sibling currently attending Ravensmead Primary (if applicable)
*
Your answer
Full name of person completing form (including Title)
*
Your answer
Relationship to Child
*
Your answer
Contact Number
*
Your answer
Email Address
*
Your answer
Place Preference (it may not be possible to meet everyone's preference)
*
Mornings 9am-12noon (15 universal hours)
Full Time 9am-3pm (eligible for 30hrs funding)
Two and a Half Days (15 universal hours)
Additional Hours Required (eligible for 15hrs but would like to top up and pay for additional hours up to 30hrs)
Other:
Day Preference (If you would like two and a half days please select below your preferred days).
Monday
Tuesday
Wednesday
Thursday
Friday
Additional Hours (If you would like to top up and pay for additional hours, please provide more information below)
Your answer
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