Enrol in a nursery

PART ONE: Nursery details

Which nursery would you like to enrol with? *

PART TWO: Parent or guardian details

Primary carer first name: *

Primary carer second name: *

Secondary carer first name:

Secondary carer second name:

Primary carer relationship to child *

Secondary carer relationship to child

Primary carer contact number: *

Primary carer email address *

Secondary carer contact number:

Secondary carer email address

Primary carer home address: *

Secondary carer home address:

Primary carer work address: *

Secondary carer work address:

Primary carer National Insurance number" *

Secondary carer National Insurance number

PART THREE: Child details

Childs first name *

Childs last name *

Gender *

Girl
Boy

Child's date of birth *

List of immunisations child has received *

List of allergies or any other health issues. *

Childs passport or birth certificate number *

PART FOUR: Doctors details

Doctors full name *

Doctors contact number *

Doctors address: *

PART FIVE: Attendance pattern required

Please select all attendance slots required for this child

Monday *

AM
PM
All day
Not required

Tuesday *

AM
PM
All day
Not required

Wednesday *

AM
PM
All day
Not required

Thursday *

AM
PM
All day
Not required

Friday *

AM
PM
All day
Not required

Required starting date for this child *

PART SIX: Accept terms and conditions

Confirm that you have read and agree to be bound by our terms and conditions found HERE *

Accepted

Note that there is an enrolment fee of £100 per child, refundable if we are unable to provide the place you require. Leaps and Bounds will be in touch with you to confirm your registration and progress with enrolment.