You may use this form to register for a nursery place online.

Please Note: Names must be as stated on the birth certificate and the registered Parent must have Legal Parental Responsibility for the registered child.

Please choose your Preferred Site
Child's Details

Forename(s)

Surname
Does your child have special educational needs?

Known As
Sex
Date of Birth
Parent's Details
Forename(s)

Surname
Address

Postcode
15/30 Hour funding code (if applicable)
Email Address
Are you the child's Mother or Father?
Date of Birth
National Insurance Number
Mobile Telephone Number
How would you like your child to attend the nursery?
Please select all sessions you would like your child to attend
Use the CTRL key to select multiple options
When would you like your child to start the nursery?

Are there any other professionals involved (CDT)?
YesNo