Expression of Interest

Parent’s/Carer’s Name (1) *

Relationship for Parent/Carer 1 *

Current address for Parent/Carer 1 *

Emails for Parent/Carer 1 *

Telephone number for Parent/Carer 1

Mobile numbers for Parent/Carer 1 *

Parent’s/Carer’s Name (2)

Relationship to Child for Parent/Carer 2

Current address for Parent/Carer 2

Emails for Parent/Carer 2

Telephone numbers for Parent/Carer 2

Mobile numbers for Parent/Carer 2

Please indicate whether you are a...

Student
Academic Staff
Non-academic Staff

If you are a student, please provide the name of your college.

If you are Academic Staff, please give your academic position and the name of the college that you are employed.

If you are Non-Academic Staff, please give your job title and place of work.

How many nursery places are your looking for? *

Do you currently have your child/ren attending another nursery? *

Yes
No

What is the name of your child’s current / previous nursery? *

Name of child one *

Gender of child one *

Date of Birth Or Due Date of child one *

Requested Nursery Start Date for child one *

Are you requesting a full-time place for child one? *

Yes
No

(Monday, Tuesday, Wednesday, Thursday, Friday)

Are you requesting a part-time (3 days) place for child one? *

Yes
No

(3 days: Monday-Wednesday)

Are you requesting a part-time (2 days) place for child one? *

Yes
No

(2 days: Thursday-Friday)

Name of child two

Gender of child two

Date of Birth Or Due Date for child two

Requested Nursery Start Date for child two

Are you requesting a full-time place for child two?

Yes
No

(Monday, Tuesday, Wednesday, Thursday, Friday)

Are you requesting a part-time (3 days) place for child two?

Yes
No

(Monday-Wednesday)

Are you requesting a part-time (2 days) place for child two?

Yes
No

(2 days: Thursday-Friday)

Please give details of any disabilities, special educational or social needs that we should be aware of to support your child

How did you hear about St John’s college – Bainton road nursery?

I confirm that the information I have provided is correct. I understand that the allocation of a nursery place is the decision of Bainton Road Nursery. And that students and members of St. John’s College take priority on the waiting list. *

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