Form

Oxhey Early Years Centre
Daycare Application Form
For further information or any queries please email finance@oeyc.herts.sch.uk
Child's Details
Child's Name *

First Name Middle Name Family Name
Date of Birth *

- Day - Month Year
Gender *

Male Female
Special Educational Needs *

Yes No
2 year funded *

Yes No
Please see Funding Information for Parents
Preferred Start Date
Parent/Carer Information
Relationship to the Child *
eg Mother/Father/Carer/Stepmother/Father/Social Worker
Name *

Title First Name Last Name

Address *

E-mail *
Telephone *
Employment Status (proof will be required) *

Working Studying Training Not working
Sessions for 2 - 3 Year Olds
Please indicate below which sessions you prefer. Minimum of 2 sessions per week over 2 days.

Long sessions (5 hours or more) are available all year round if required. Short sessions (3 hours) are term time only.

Long Sessions *

Short Sessions *

Will you be sharing funded hours with another provider *

Yes No
If you have any other information (eg can be flexible with days) please enter it here:
All children are entitled to 15 hours funding the term after their 3rd birthday. 30 hours funding is subject to eligibility and to children already doing the long days. Requesting additional sessions now is recommended, but is subject to availability at the time.
Request for additional sessions:
I confirm that the details above are correct to the best of my knowledge *

Yes No
You will need to pay a non-refundable administration fee in order to join our waiting list unless you are in receipt of 2 year funding. You will receive an invoice after your application is processed. Please check your junk if you don't receive it within a few days after application.

The fee is £25 for short sessions and £50 for long sessions (5 hours or more).
Administration Fee: *

£25 £50 No fee
In completing this application form you should refer to our Parent Privacy Policy. The personal information collected on this form will be processed to manage your application in accordance with this policy.
I have read and agree with the OEYC Parent Privacy Policy *

Yes No
Should be Empty:

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Oxhey Early Years Centre