Oxhey Early Years Centre Daycare Admissions

Oxhey Nursery School
2 Year Provision Application Form
For further information or any queries please email admin@oeyc.herts.sch.uk

Please note Daycare Admissions Forms are checked on a WEEKLY basis
Child's Details
Child's Name*

First Name Middle Name Family Name
Date of Birth*

DayMonth Year
Gender*

MaleFemale
Special Educational Needs*

YesNo
2 year funded*

YesNo
Please see Information about access offer
Preferred Start Date
Have you been on a tour?

YesNo
Parent/Carer Information
Relationship to the Child*
eg Mother/Father/Carer/Stepmother/Father/Social Worker
Name*

Title First Name Last Name
Address*

House No, Street Name

Street Address Line 2

City County

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

WorkingStudyingTrainingNot working
Sessions for 2 - 3 Year Olds
Please indicate below which sessions you prefer. Minimum of 2 sessions per week over 2 days.
Are you entitled to free education and childcare for two year olds? This requires an eligibility code.*

YesNo
Please note that fee paying places are ALL YEAR ROUND meaning the holiday session will be either 7.45am-4pm or 7.45-6pm on your chosen days.

Will you be sharing funded hours with another provider*

YesNo
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
If you are not funded you will need to pay a non-refundable adminstration fee of £50 if we are able to offer you a place for fee paying provision. This is not required for children in receipt of two year old funding.

We also ask for a deposit of £250.00 which will be returned to you against your child's final invoice.
In completing this application form you should refer to our Parent Privacy Notice. 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 ONS Parent Privacy Notice*

Yes
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Oxhey Nursery School