Unit 11, Winyates Centre, Redditch. B98
0NR. Tel: 01527 522500
Name of child
..
Childs Date of Birth:
.
Name(s) of parent(s)/guardians
..
Address of parent(s)/guardians
..
..
Postcode
Telephone
Mobile
..
Email
I/We would like our child named, to
start attending Winyates Playgroup, Pre-school
*from
(date)
. *as soon
as possible
* Please delete whichever is not applicable.
If we find that we no longer need the
place, we will inform the pre-school as soon as possible.
Signature of parent/guardian
Date:
...
..
A place will be available for (child's name)
.
*on
(date)
*We will notify you when a place becomes free.
Signed for the pre-school
.
Name
Title
..