Surname  First Name(s)  Date of Birth             Boy or Girl Boy Girl

Address Telephone Home

Postcode                        Mobile     Work 

Parent(s)/Guardian(s) Name    Year of starting School  2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2020 2021 2022 2023 2024 2025

 No. Of Sessions Required 1 2 3 4 5

                                    (We offer a 5 sessions initially to include a maximum of two full days)

am sessions = 9am - 11.30am                          pm sessions = 12.30pm  - 3pm                        full day = 9am - 3pm

     Monday am                                                Monday pm                                               Monday full-day                     

     Tuesday am                                               Tuesday pm                                               Tuesday full-day

     Wednesday am                                           Wednesday pm                                          Wednesday full-day

     Thursday am                                               Thursday pm                                              Thursday full-day   

       Friday am with lunch (close 12.15pm)

    Notes

 A registration fee of £25.00 is only requested when a child is not in receipt of Nursery Education Grant Funding at this setting. 

Please forward this as soon as possible to: Bexton Pre-school Nursery, Bexton Lane, Knutsford, Cheshire WA16 9BQ.