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Waiting List Registration Form

If you wish to receive our Information Pack, please fill in your details below.  We will send you our Handbook & Application Form, which you can fill in & return to us to secure a place on our waiting list.  Please telephone us if you have any further questions, we will be happy to help!

Child's Details

Child's Name:

Child's Gender:

Child's Date of Birth:

Special Requests:


Contact Details

Contact's Name:

Email:

Telephone - Day:

Telephone - Evening:

Address:

Town/City:

Postcode:


Your Requirements

Requirements:

Monday Tuesday Wednesday Thursday Friday
Not Required
Morning
Afternoon
All Day

Comments:



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