Pre-School application

Pre-School logo Please complete this form to apply for a place for your child at Ruskin Road Pre-School.

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Name of child:*
Child's date of birth:*
Name(s) of parent(s):*
Address:*
Postcode:*
Phone number:*
Email address:*
We would like our child to attend the following sessions (tick all that apply):*
Monday AM
Monday PM
Tuesday AM
Tuesday PM
Wednesday AM
Wednesday PM
Thursday AM
Thursday PM
Friday AM
Friday PM
Date on which we would like our child to start:
How did you hear about
Ruskin Road Pre-School:*
Anything else you would like to tell us:
Please enter the verification number on the right:*
seven five six five three
* Required Fields

Page last updated: 11th Jul 2015 7:04 PM