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*Name of Child:

*Date of Birth:

*Name(s) of Parents:

*Address of Parent(s):

*Postcode:

*Telephone:

*Email Address:

Please indicate below which sessions you would like your child to attend.

Select which sessions you require on a Monday:

Select which sessions you require on a Tuesday:

Select which sessions you require on a Wednesday:

Select which sessions you require on a Thursday:

Select which sessions you require on a Friday:

*I/We wish to join Great Wood Farm Early Years Centre:

As soon as possible

Other (please specify)

There will be a non-refundable registration fee due to complete your application. Please contact the office if you would like to know the amount before completing this form. After receiving this form, we will acknowledge your application and generate an invoice. We look forward to welcoming you to the Great Wood Farm family.