Registration Form

Please complete this Registration form if you wish to reserve a place at The Secret Garden Pre-School.

Child's Name
Child's Date of Birth
Child's Current Age
Preferred Start Date Sept 2013
Jan 2014
April 2014
Sept 2014
Parent's Names
Address
Postcode
Contact No. Home
Contact No. Mobile
Email Address
 

Initally how many 3 hour sessions would you like your child to attend?
*We will try to accommodate requests but can not guarantee allocation as requested.
 
How did you hear about us?
Do you wish to pay with childcare vouchers?
Yes     No If Yes, Company Name
 
I wish to register my child for the Pre-School. A £30.00 deposit is required to hold a place on the waiting list. This will be used for administration purposes and is non-refundable.

I have sent a BACS payment (Account No. 41401959 / Sort Code. 09/06/66)
I have posted a cheque (Cheques should be made payable to The Secret Garden
       Pre-School and posted to Jo Hayes at The Secret Garden Pre-School, Wellington Avenue,
       Princes Risborough, HP27 9HY).

Please note without the deposit we will not be able process the registration.
 
I agree to my information being shared with Buckinghamshire County Council
      (so that waiting list can be shared between the two parties).
 
I understand that the sessions that I have requested can not be guarenteed.
      * If you are unable to be flexible please use the comments box at the end of this form and we
       will contact you.
 
Completed By
Date
Additional Comments
   
 
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