United Reformed Church HallBluehouse Lane

Oxted Surrey, RH8 0AA

Mobile: 07733 289 486

Application Form

Name of Child ...... Date of Birth ......

Name(s) and Address(es) of Parents making the application:

I/We would like ...... to start attending at Oxted Pre-school

*as soon as possible; or from ...... (date).

Please tick the sessions you would like your child to attend (see next page for requirements):

Day / Sessions – please tick no more than one box per day
Monday / Morning only 9:15 – 12:15 (3 hours)
Morning plus Lunch Club 9:15 – 13:15 (4 hours)
Full day 9:15 – 14:45 (5.5 hours)
Afternoon only 12:15 – 14:45 (2.5 hours) / □



Tuesday / Morning only 9:15 – 12:15 (3 hours)
Morning plus Lunch Club 9:15 – 13:15 (4 hours)
Full day 9:15 – 14:45 (5.5 hours)
Afternoon only 12:15 – 14:45 (2.5 hours) / □



Wednesday / Morning only 9:15 – 12:15 (3 hours)
Morning plus Lunch Club 9:15 – 13:15 (4 hours)
Full day 9:15 – 14:45 (5.5 hours)
Afternoon only 12:15 – 14:45 (2.5 hours) / □



Thursday / Morning only 9:15 – 12:15 (3 hours)
Morning plus Lunch Club 9:15 – 13:15 (4 hours)
Full day 9:15 – 14:45 (5.5 hours)
Afternoon only 12:15 – 14:45 (2.5 hours) / □



Friday / Morning only 9:15 – 12:15 (3 hours)
Morning plus Lunch Club 9:15 – 13:15 (4 hours)
Full day 9:15 – 14:45 (5.5 hours)
Afternoon only 12:15 – 14:45 (2.5 hours) / □



Total hours of attendance per week

Minimum Session Requirements:

Two and three year olds

  • Will be required to attend a minimum of two mornings per week
  • Children who turn three during the academic year will receive government funding from the term after they turn three, but will not be expected to meet the eligibility requirements for three and four year olds until the following September.

Minimum Session and Eligibility Requirements to receive the 15 hours/30 hours government funding for free early education:

Three and four year olds

To benefit from a funded place at Oxted Pre-school, children in their final year with us will have to attend according to the following restrictions:

  • They must attend for a minimum of 10.5 hours per week
  • They must attend for at least one full day per week
  • They can only have two stand-alone morning sessions per week (other morning sessions will need either a Lunch Club or afternoon session added)
  • They can only have one stand-alone afternoon session per week
  • Sessions must be fully funded or fully paid for by parents: for example, if you have two hours’ worth of funding left, this cannot be applied to a 3 hour session, with parents paying the extra hour.
  • Parents will be asked to specify the sessions for which the additional 15 hours funding is being claimed, in case they cease to be eligible for it part way through the academic year (in which case parents will be required to pay for the sessions for their child to continue attending them).

 Providing they attend a minimum of two morning sessions per week and no more than one stand-alone afternoon, children are more than welcome to a place at the pre-school using any sessions they like – but if they do not meet our above conditions thenthese sessions will not be eligible for the government funding and will have to be paid for by the parents.

*** If we find that we no longer need the place, we will inform the setting as soon as possible.

Signature of parent(s)

Please return completed form to: Cathy Chilcott, Oxted Pre-school, United Reformed Church, Oxted, Surrey RH8 0AA.

Registered Charity Number 1031488