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About
Childcare
Expression of Interest
Meet the Team
Curriculum
Policies
Latest News
Enquire Now
Expression of Interest Form
Please fill out the form below and we will get back to you as soon as possible!
Parent/Carers Details
Parent/ Carer Name
Contact Number
(Required)
Email Address
(Required)
Your Address
Street Address
Address Line 2
City
Post Code
Child's Details
Child's Name
Gender
Please select
Male
Female
Do you consider your child to have any additional needs?
Days and Sessions Required
Please tick below the session that you require. Session times are as follows..
Breakfast Club - 8.00 am to 8.30 am
Morning Session - 8.30 am to 11.30 am
Lunchtime Session - 11.30 am to 12.30 am
Afternoon Seesion - 12.30 pm to 3.30 pm
Tea Club - 3.30 pm to 4.30 pm
Monday's Sessions
Breakfast Club
Morning Session
Lunchtime
Afternoon Session
Tea Club
Tuesday's Sessions
Breakfast Club
Morning Session
Lunchtime
Afternoon Session
Tea Club
Wednesday's Sessions
Breakfast Club
Morning Session
Lunchtime
Afternoon Session
Tea Club
Thursday's Sessions
Breakfast Club
Morning Session
Lunchtime
Afternoon Session
Tea Club
Friday's Sessions
Breakfast Club
Morning Session
Lunchtime
Afternoon Session
Tea Club
Would you like your child to attend our full time Forest School Provision?
Yes
No
Would you like your child to attend our full time Forest School Provision?
Yes
No
Is your child eligible for a Free Early Education Funded place?
No
Working parent Funding
Eligible 2 YO
Please indicate if you would like Term time only or All year-round place.
All year round – 12 hours a week
Term time only – 15 hours a week
Do you require a translator or interpreter?
Yes
No
Please specify what language
All sessions can be used to claim your child’s Free Early Education hours. Any additional hours must be paid for.
If you have requested your child to attend a lunchtime session, a hot meal can be bought at the cost of £2 per day. Alternatively, you can provide a packed lunch at no charge.
Please provide the date you require the place:
MM slash DD slash YYYY
How did you hear about Southmead Children’s Centre?