Place Enquiry Form - Dickory Docks Educational Day Nursery

Parent / carer details

How we should contact you about the enquiry.

First name * Last name * Email * Confirm email * Contact number *

Your child

Tell us who the place enquiry is for.

Child’s first name * Child’s last name * Gender * Date of birth * Proposed start date *

Home address

Your child’s primary home address.

Address line 1 * Address line 2 City * County Postcode *

Attendance

Select the room and nursery sessions you would ideally like. We will confirm what is actually available.

Attendance option * Children without grant funding always attend full time. Children with any grant can choose 38 or 51 weeks.

Age group *

Baby Room Under 2 years

Toddler Room Age 2–3 years

Pre School Age 3–4 years ★ Holiday Club Age 5–8 years

Sessions required *

Choose AM (8am–1pm), PM (1pm–6pm), or both for a full day.

	Monday	Tuesday	Wednesday	Thursday	Friday
AM · 8am–1pm	AM	AM	AM	AM	AM
PM · 1pm–6pm	PM	PM	PM	PM	PM

Grant funding

If you intend to use funded childcare, provide the relevant details below.

Grant funding type *

Funding code deadlines: the funding code must have been issued before 31 March, 31 August or 31 December to be valid for use at the beginning of the next term. Codes issued after these deadlines cannot be used until the beginning of the term following the next term.

Before you submit

Please read and confirm each declaration below.

Comment or message

Rating

Please comment on the ease of use of this form. Thank you in advance.

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Once submitted, our management team will review your preferred start date, requested sessions and age group, then contact you by email.