Application to be included on the waiting list for a place at the nursery. Nursery Location WHICH NURSERY ARE YOU APPLYING FOR?*Castle Green NurseryDagenham NurseryHornchurch Nursery Child’s Details Child’s First Name* Child’s Last Name* Child’s Date of Birth* Parent / Carer’s Details Parent/Carer’s First Name* Parent/Carer’s Last Name* Parent/Carer’s Address* Parent/Carer’s Post Code* Parent/Carer’s Telephone (home)* Parent/Carer’s Mobile* Parent/Carer’s Email* Childcare Requirements Please tick below to let us know what times you will need childcare Full Time Childcare Requirement (i.e. 8am – 6pm)MondayTuesdayWednesdayThursdayFriday Part Time Childcare Requirement – Mornings (i.e. 8am – 1pm)MondayTuesdayWednesdayThursdayFriday Part Time Childcare Requirement – Afternoon (i.e. 1pm – 6pm)MondayTuesdayWednesdayThursdayFriday *Extra hour from 7-8am available at certain nurseries at an extra cost Submit Privacy: The information you have given on this form will be confidential. We will hold this information on our systems for the purpose of compiling a waiting list for places at the nursery. The information will be processed in accordance with the local authority’s best practice and the requirements of the Data Protection Act 1998 and the new GDPR on May 2018. The information may be used by the local authority to promote the general welfare of children. We use information for statistical purposes to help us develop future services for parents and providers. Information held for statistical purposes will be depersonalised.
