Little Barn Pre-school
ADMISSION RESERVATION FORM
In order to reserve a place for your child please return the admission form
together with a deposit of £20.00 to one of the postal addresses below.
Cheques should be made payable to Nicola Perry.
Please indicate on the table below the sessions you require for your child.
We will contact you to confirm the place.
Month & Year of Admission: ……………………………
Age on Admission: ……………………………
Please Tick box) AM 9-12 PM 12-3 LUNCH CLUB 12-1PM FULLDAY 9-3PM
Monday
Tuesday
Wednesday
Thursday
Friday
NB: Reservation fee is non-refundable if place is offered and not accepted or if child is
taken off the waiting list at parent / carer’s request. Please send to:
Nicola Perry
The Forge
97 High St
Westerham
Kent, TN16 1RE
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Little Barn Pre-school, 25 Bluehouse Lane, Oxted, Surrey, RH8 0AA
ADMISSION FORM
NAME OF CHILD
Surname: ....................................... Forename: .......................................
Middle name:..................................... Known as: .......................................
Term of entry (Please state month & Year) ……………………………………………
Age on entry: ...............years .............months Date of birth: .......................................
Position in family: Male/Female
PARENTS/GUARDIANS
Surname: ....................................... Surname: .......................................
Forename: ....................................... Forename: .......................................
Address: ....................................... Address: .......................................
....................................... .......................................
Postcode: ....................................... Postcode: .......................................
Tel.No.: ....................................... Tel.No.: .......................................
Mob. Tel No: ....................................... Mob. Tel No: .......................................
Email Address : …………………………………………………………………………………………………
Registration Forms
