Full Time Application Form

Have you attended a nursery tour?

PERSONAL INFORMATION

Phone

Email

Child's Name

Date of Birth (DD/MM/YY)

NURSERY PLACE DETAILS

Please note that: • Places are offered in line with our admissions policy. • Priority is given to siblings of children currently attending the nursery. • A non-refundable £15 admin fee is required to process this form made payable to: Account Name: 1st Place Children and Parents’ Centre Bank Name: Barclays Bank Account No: 83142221 Sort code: 20-29-63 Reference – Please use your child’s name as the reference

Select your preferred Nursery

1st Place has three Early Education settings (Located in Chumleigh Gardens, Lorrimore Square and Elephant and Castle). Please indicate your order of preference below. If your 1st choice is not available, we may be able to offer a place at your 2nd choice nursery. Accepting a place in your 2nd choice nursery will not affect your application for your 1st choice nursery, you will be given priority when a space becomes available.

First Choice

Second Choice (optional)

Preferred Start Month & Year

Please note, our largest intake is in September if you are offered a place in September and do not take it there may not be another available for some time.

Preferred Days (please select)

Preferred Hours (please select)

Where did you hear about 1st Place?

Please State (if applicable)

Childcare Code

Please enter your unique code for 15 or 30 hours free childcare. If you're not eligible enter N/A. To check if you're eligible, read the information at the bottom of this page.