application form

    First name(s) of child

    Surname of child

    Gender of child

    Date of birth

    Full address

    Postcode

    Parent/carer name (1)

    Relationship to child

    Full address (if different)

    Postcode

    Daytime/work tel

    Home tel

    Mobile tel

    Email

    Parent/carer name (2)

    Relationship to child

    Full address (if different)

    Postcode

    Daytime/work tel

    Home tel

    Mobile tel

    Email

    Preferred start date

    Preferred sessions

    8:00am – 12:50pm - part funded sessions
    MondayTuesdayWednesdayThursdayFriday

    9:00am – 12:50pm - part funded sessions
    MondayTuesdayWednesdayThursdayFriday

    8:00am – 3:50pm - part funded sessions
    MondayTuesdayWednesdayThursdayFriday

    9:00am – 3:50pm - part funded sessions
    MondayTuesdayWednesdayThursdayFriday

    8:00am – 5.50pm - part funded sessions
    MondayTuesdayWednesdayThursdayFriday

    9:00am – 5:50pm - part funded sessions
    MondayTuesdayWednesdayThursdayFriday

    12:30pm – 3:30pm - fully funded sessions term time only
    MondayTuesdayWednesdayThursdayFriday

    Attendance for term time only or all year round?
    Term Time OnlyAll Year Round

    For your security, please type the words that appear below into the entry box:
    captcha

    This application places your child on our waiting list. We will contact you as soon as a suitable place becomes available. Please note that completion of this form does not guarantee a place for your child.

    Once your child is offered a place and you accept it, on admission further personal information and family details are required for our records. Your child’s birth certificate is required at this point with a copy made for our file.

    If you find that you no longer need the place, please inform us as soon as possible. Should you decide you no longer need the place we will not retain the details on this application form, as per GDPR guidelines (2018).

    I agree to be contacted by Meadows Montessori

    I have read the Meadows Montessori Terms & Conditions