Early Years Registration Enquiry Form
Please complete as much detail as possible and then we will be in touch with you.
Parent's Name
*
First Name
Last Name
Parent's Address
*
Street Address
Street Address Line 2
City/Town
State / Province
Postcode
Contact Phone Number
*
-
Area Code
Phone Number
Contact Email Address
*
example@example.com
Child's Name
*
First Name
Last Name
Child's Date of Birth
*
-
Day
-
Month
Year
Date
Which nursery would you like your child to attend?
*
James Barney Childcare Centre, Norman Way, Melton Mowbray
Grounds of Swallowdale School, Dalby Road, Melton Mowbray
When would you like your child to start?
*
-
Day
-
Month
Year
Starting date
GDPR Agreement - I agree that Early Years Nursery may obtain my personal data via this online form
*
I AGREE
SPAM CHECK
*
Submit
Should be Empty: