Manor Farm Pre-School

Making Learning Fun

Telephone: 01494 816730

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APPLICATION FORM

Registration

Submit your registration by filling in our form below.

Contact Us

Child's Full Name:

Preferred Name:

Child's Date of Birth:

Gender:

Parent/Guardian's Name(s):

Parent/Guardian Email:

Telephone:

Full Address (including postcode):

Emergency Contact Name:

Emergency Contact Phone:

Relationship to Child:

We would like our child to attend on the following days/sessions:

Monday AM

Monday PM

Tuesday AM

Tuesday PM

Wednesday AM

Wednesday PM

Thursday AM

Thursday PM

Friday AM

Friday PM

Are the days selected above required every week or specific dates?

Every Week

Specific Dates

If specific dates, please enter these below:

How did you hear about us?

Have you had another child at our pre-school?

Yes

Do you think your child has any Special Educational Needs?

Yes

If YES please specify:

Any additional notes or information you would like to let us know about:

Today's Date:

Opt-In

By checking, I agree to share my form responses.

Thank you for contacting us.
We will get back to you as soon as possible

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NB: The pre-school will try to give you your choice but the sessions you would like may not always be available. May we also suggest that you choose at least two days together to help settle your child into the pre-school.

We will notify you the term before your child is due to start if a place is available. Should you find that you no longer require a placement please inform us as soon as possible.

If you would prefer to print and fill in your registration form you can do you using the link button below:

Download Form

Manor Farm Pre-school and Nursery, Rose Avenue, Hazlemere, High Wycombe, Bucks. HP15 7PH.

Ofsted Registration No: EY258641 ~ Registered Charity No:1026943

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