JACK AND JILL PRE-SCHOOL
Registered Charity number: 1042803
APPLICATION FOR ADMISSION
Name of child: .....................................................................................................................
Date of birth: .................................................................................................................
Name(s) of parent(s): .........................................................................................................
Address of parent(s): ........................................................................................................
(To include postcode) ........................................................................................................
Telephone number: .........................................................................................................
E-mail address: ...........................................................................................................
Where did you hear about Jack & Jill Pre-school: ………………………………………………...
When a place becomes available for my child to join the pre-school I would like
him/her to attend for ....... sessions each week. My preference would be for:
Monday am Tuesday am Wednesday am Thursday am Friday am
Monday pm Tuesday pm Wednesday pm Thursday pm Friday pm
I/we will inform the pre-school as soon as possible if the place is no longer required i.e.
moving home.
I/we agree to comply with the group's payment policy once a place has been confirmed at
the group.
I/we have enclosed the registration fee of £10.00
Signature of Parent(s) .........................................................................
.........................................................................
Date: ……………………………………………………………………….
Official use only: registration fee paid yes / no