St. Mary’s Church Nursery - Great Dunmow Registration Form Child’s name.....................................................................…….......D o b........................... Home Address.......……………………................................................................................ ……………………………………………………………………………………………………………………………………….. Name of parent/guardian....................................................Tel. no................................. Email address …………………………………………………………………………………………………………………… Subject to places being available we accept children from 2 years old. From an educational and social view it is beneficial if children attend a minimum of 2 sessions per week. Therefore we do not offer less than two sessions per week. Proposed starting age;- (please circle) 2 yrs. 2 ½ yrs 3 yrs. Proposed sessions (if known):- Monday Tuesday Thursday Friday Morning 09:00 – 11:30 Lunch club 11:30 – 12:30 Afternoon 12:30 – 3:00 Children can attend any combination of sessions. Your child will need to bring a packed lunch if they attend lunch club. We also offer an early drop off session from 8:40 (£0.50). Fees are currently £10.50 per morning or afternoon session and £2 per lunch club. Payment of fees is by cheque or cash only . We do not accept childcare vouchers or Bacs payments. Government funding is available from the term after your child’s 3rd birthday. Signed......................................................................parent/guardian.........................date Please print name.............................................................................................................. Please return to Mrs Susan Berry - 17, Lukins Drive Great Dunmow, CM6 1XQ Tel. no. 01371 876894