Waiting List Application Form To place your child’s name on our waiting list please fully complete this form and return to Sturry Pre School, Park View, Sturry. CT2 0NR. Thank you. Child Name DOB Address Main Parent / Carer Name Telephone Number Mobile Number Email address Is the child registered with any other provider? If yes please complete: Yes / No Name No of sessions per week We welcome all families into our group, please indicate if your family have any additional needs that you would like to discuss before starting pre-school. Yes / No I confirm that the above information is accurate. Signed Date Print Name Sturry Pre-School Reg. Charity no. 1022403 Page 1 Waiting List Application Form Please could you complete the sessions that you would prefer. I cannot guarantee that these will be available but I will try my best to accommodate you. Could you also indicate any sessions that you are unable to use due to work commitments or where your child attends another setting. Monday 9.00-12.00 Tuesday 9.00-3.00 From January only (children starting school Sept only) Wednesday 9.00-12.00 Staff Development No children to attend Thursday 9.00-12.00 12.00-3.00 Friday 9.00-12.00 12.00-3.00 Name of any siblings attending or who attended Sturry Preschool Do you use our Parent & Toddler Group? Yes / No Preferred Primary School (Please apply direct) Where did you hear about us? --------------------------------------------------------------------------------------------------------------For Pre School use Date received Waiting List updated Sturry Pre-School Reg. Charity no. 1022403 Page 2