*Sex: MaleFemale *Child's Age : ---2345
*Name & Number Of Parents/Guardian
Section B | PREFERENCES/SESSIONS
- Below please record your preferences – select (Please choose a minimum of 2 full days or 3 part-time sessions)
*Monday   None9am - 12pm9am - 2/3pm9am - 4pm (All Day)
*Tuesday None9am -12pm9am - 2/3pm9am - 4pm (All Day)
*Wednesday None9am -12pm9pm - 2/3pm9am - 4pm (All Day)
*Thursday None9am -12pm9am - 2/3pm9am - 4pm (All Day)
*Friday None9am - 12pm(All Day)
DATA PROTECTION STATEMENT – The information on this form is required by the Nursery for the purpose of processing your application. The information is covered by the provisions of the Data Protection Act 1998. Your signature to the form is deemed to be an authorisation by you to allow the Nursery to process and retain the information for the purpose(s) stated.
Regal Brook Nursery
38 Upper Wickham Lane,
For further assistance please call us on 0203 754 1851
It’s our experience that your childcare facility is a family-centred child care setting that works closely with parents to provide the appropriate care and support for their children.