Contact

New Parent, Child Application Form

 

ROSSLYN NURSERY & PRESCHOOL

ETNA Community Centre, 13 Rosslyn Road, Twickenham, Middlesex TW1 2AR

APPLICATION FORM

Full NAME of the Child:

____________________________________________________________________________

Date of Birth:

_______________________________________________________________________________________________

Mother’s/Carer’s Name: Father’s/Carer’s Name:

_______________________________________________________________________________________________

Full Postal Address:

____________________________________________________________________________________________

Daytime number: Mobile number:

Evening number: Email:

____________________________________________________________________________________________

Languages spoken at home:

_____________________________________________________________________________________________

How did you hear about ROSSLYN NURSERY & PRESCHOOL?

_____________________________________________________________________________________________

Does your child have any allergy, dietary or any medical issues we need to know about?

______________________________________________________________________________________________

When would you like your child to start? Please specify your preferred days:

______________________________________________________________________________________________

 

Signature of Parent/Carer:____________________________                            

 

Date:_______________

 

Please email your completed form to Sarah@rosslynnurseryandpreschool.com to secure your place, £135 must accompany each application. (£35 registration fee and £100 refundable deposit). BACS payment to Yorkshire Bank, Sort Code: 05-02-00 Account no:29867333

(Ref: Child’s Name) Alternatively, make cheques payable to

ROSSLYN NURSERY & PRESCHOOL LLP. (With child’s name on reverse) and post your completed form

to Rosslyn Nursery & Preschool, ETNA Community Centre, 13 Rosslyn Road, Twickenham, Middlesex TW1 2AR

For further information please see our website www.rosslynnurseryandpreschool.com

Or contact Sarah on 07759841866 /email Sarah@rosslynnurseryandpreschool.com or landline 020 36389044