The Bridge Pre-School

APPLICATION FORM

Please read our Policies and Procedures and the documents listed below before completing the application form.

The Bridge Pre- school Admissions policy

The Bridge Pre- school Inductionpolicy

The Bridge Pre- school Terms and Conditions

Child’s details
Child’s First Name
Child’s Surname
Date of Birth
Address
Postcode
Known Special Educational Needs and Disabilities*

* SPECIAL EDUCATIONAL NEEDS AND DISABILITIES NOTE

In order to meet each child's needs, you may feel there is information you need to share with us before your child starts at The Bridge. Please contact the Pre-school Manager on 01789 264 745.

Parent/ Carers details
We are required by law to collect and hold information about who has legal contact with each child and who has parental responsibility before admission to The Bridge Pre- school. Where the address details are the same as the child please insert 'As above'.
PARENT / CARER 1
First Name
Surname
Address
Postcode
E-mail address
Daytime contact number
Evening contact number
Parental Responsibility
Legal contact
PARENT / CARER 2
First Name
Surname
Address
Postcode
E-mail address
Daytime contact number
Evening contact number
Parental Responsibility / Yes/ No
Legal contact / Yes/ No

Please tick which sessions you would like your child to attend.If you will be attending more than your funded sessions then a non-refundable admin fees of £20 applies, along with a deposit of £50. The deposit will be deducted from your first invoice.

MONDAY / TUESDAY / WEDNESDAY / THURSDAY / FRIDAY
Breakfast Club (8.00-8.45)
Morning (8.45-11.45am)
Lunch (11.45am-12.45pm)
Afternoon (12.45-3.45pm)
Club 1 (3.15-4.30pm)
Club 2 (3.15- 5.00pm)
Club 3(3.15-5.30pm)
Club 4(3.15-6.00pm)

Please indicate what date you would like your child to start at The Bridge Pre- school. Please note that childrenare eligible to start from the age of 2years.

Proposed Start Date
Age of your child on this date

To help us with our marketing activities please can you tick how you heard about The Bridge?

Word of Mouth / Mid Week Herald / Internet
Stratford Herald / Posters / Home Leaflet
Observer / Raring to Go / Other – please indicate

We/I confirm that the information given is correct and that we/I have read The Bridge Pre- school Admission & InductionPolicy and The Bridge Terms and Conditions documents and agree to their terms.

PARENT / CARER 1 SIGNATURE / PARENT / CARER 2 SIGNATURE
Date / Date

Please return this completed application form together with the payment of £20.00 administration fee and deposit (where payable) to:

Pre-School Manager

The Bridge Pre-School

Byron Road

Stratford-upon-Avon

CV37 7JP

Please make cheques payable to: “THE BRIDGE PRE-SCHOOL LTD”

OFFICE USE ONLY

DATE APPLICATION RECEIVED:

FEE RECEIVED:

CONFIRMED SESSIONS / MONDAY / TUESDAY / WEDNESDAY / THURSDAY / FRIDAY
Breakfast Club
Morning Session
Lunch Session
Afternoon Session
Afterschool Club 1
Afterschool Club 2
Afterschool Club 3
Afterschool Club 4

ACTUAL START DATE:

DATE CONFIRMATION SENT: