First Name:
Date of Birth:
Male Female
First Name :
Mr. Mrs. Ms.
Address:
How did you hear of us? (source) :
( e.g Friends, Local papers, LEA etc. )
Telephone No: (Daytime)
Evening :
Emergency Contact Tel No1:
Tel No2 :
Session Requirements
IF YOUR CHILD IS 3+, PLEASE INCLUDE AT LEAST TWO FULL DAYS. KINDLY DISCUSS ANY SESSION REQUIREMENTS WITH PRE-SCHOOL OFFICE FIRST 020 8933 7422
SESSION CHARGES
09:00-3:00PM Full Day (Bring Packed Lunch)
09:00-12:25PM Mornings (Bring Packed Lunch)
09:00 -12:00PM Mornings UNDER 3 YRS
12:30PM -3:00PM AFTERNOON SESSIONS
Daily Session Rate (Min 2 days)
£25.00
£16.00
£10.00
Weekly Discounted cheaper option
£120.00
£75.00
£45.00
Child's Medical Details
Child's Medical Details: ( If none Please write none)
Any Allergies:
Any Disabilities :
Other:
Family Doctor:
Telephone No:
School Details:
Date of entry into Infant School (if known)
Name of School :
Registration Fee £15.00 (non-refundable)
Thank you for choosing Little Stars Pre-School