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Apply To Put Your Child on the Avery Hill Nursery Waiting List

Avery Hill Day Nursery

Fill in the application form below to place your child on the waiting list for the Avery Hill Day Nursery. If you have more than one child who you wish to apply for a place for, simply complete the form again. At this stage we only need the details of one parent/carer.

Once you have submitted the form, Avery Hill Day Care Nursery will contact you to advise you on what happens next.

* = Required Field

Your details

First Name

  *

Last Name

  *

Email Address 

*

Home Address 1 

   *

Home Address 2

   *

Home Address 3

Post Code

   *

Borough/Council

   *

Land line

   *

Mobile

Status

   *

Your Child's Details

Child's First Name

   *

Child's Last Name

   *

Date of Birth

    *

Age (at time of application)

   *

Days Required    *

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Special Needs / Disability

Dietary Requirements / Food Allergies  

 

Further Information   

Terms and Conditions

I have read and agree with the Avery Hill Day Nursery Admission Policy   *