If you would like to join our Preschool please complete the application form below. Forms can then be either printed off, completed and posted back or alternatively attach a completed scanned document and email direct to Clare.

APPLICATION TO JOIN CROUGHTON PRE-SCHOOL

Name of Child: __________________________________ Date of Birth: _______________

Name (s) and Address(es) of Parent(s)/Carer(s) making the application

I/We would like _______________________________________________________ to start

attending Croughton Pre-School as soon as possible/or from _________________________

We would like our child to attend on the following days/sessions [please tick]:

Monday 09.00am -12.00 noon / with lunchclub 12 - 1pm*

Monday 09.00am - 3pm including lunchclub

Tuesday 09.00am -12.00 noon / with lunchclub 12 - 1pm*

Tuesday 09.00am - 3pm including lunchclub

Wednesday 09.00am -12.00 noon / with lunchclub 12 - 1pm*

Wednesday 09.00am - 3pm including lunchclub

Thursday 09.00am -12.00 noon / with lunchclub 12 - 1pm*

Thursday 09.00am - 3pm including lunchclub

Friday 09.00am -12.00 noon / with lunchclub 12 - 1pm*

Friday 09.00am - 3pm including lunchclub

* Please delete if lunch club is not required

If we find that we no longer require the place, we will inform Croughton Pre-School as soon as possible.

Signature of parent(s):

_________________________________ / _______________________________________

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

For office use only – Tear off and return to the parent(s)/carer(s)

A place will be available for _______________________________________ (child’s name)

on _______________________________________________ [insert date] or we will notify

you when a place becomes available.*

* Please delete as appropriate