Abbots Hall Nursery Enquiry Form

Please complete the form below and a member of the team will be in touch...

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* 1. Contact details

Parent/Guardian name *

Address *

Address 2

Town *

Post Code *

Email Address *

Phone Number *

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* 2. Child's name

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* 3. Date of birth

Date / Time

Date

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* 4. 2 year funding code - if known

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* 5. 30 hour funding code - if known

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* 6. Attendance - tick the days you would like your child to attend

	Monday	Tuesday	Wednesday	Thursday	Friday
AM	AM Monday	AM Tuesday	AM Wednesday	AM Thursday	AM Friday
PM	PM Monday	PM Tuesday	PM Wednesday	PM Thursday	PM Friday

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* 7. Start date

Date / Time

Date

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* 8. Please provide us with any additional information that may be useful.