Enquiry Form – West Wycombe Preschool

Parent / Guardian Name *

First

Last

Contact Daytime Telephone Number *

Email *

Child 1 Name *

First

Last

Date of Birth *

Child 1 - Special Educational Needs Disabilities

Please let us know if your child has any SEND requirements (either diagnosed or suspected) they will require support with

Child 2 Name

First

Last

If applying for one than one child

Date of Birth

Child 2 - Special Educational Needs Disabilities

Please let us know if your child has any SEND requirements (either diagnosed or suspected) they will require support with

Start Date *

Sessions/ Days Required *

Please Note: Child is required to enrol for 2 sessions, over 2 days minimum

Breakfast Club *

Please Note: Spaces are limited

How will you be funding your childcare *

Self funding
Government Funded - Two-year-old Early Learning Funding
Government Funded - Universal entitlement for all 3- & 4-year-olds (15 hours per week)
Government Funded - Early Years Funded Entitlement for eligible children over the age of 9 months up to 4 year olds (30 hours per week for working parents)

Please Confirm *

I can confirm, I understand that Preschool is a multi level setting and my child can walk up and down stairs unaided safely.
I understand it is the parents’ responsibility to apply for the Eligibility code before the fixed deadlines 31st March, 31st August and 31st December and to reconfirm their codes every three months. If this is not completed my child’s funding code will expire and I will not be eligible to claim the funding. I will be responsible for paying for the sessions my child attends/