Trinity Pre-school Application Form

Reg. Charity no.1023282

Vicarage Road, Henley-on-Thames, Oxon RG9 1HJ

Phone: 01491 574742     info@TrinityPreSchool.co.uk

CONTACT DETAILS

Child’s Surname

Home Address

Child’s First Name

Date of Birth

Home Phone #:

Mobile Phone #

E mail address

Name of Parents and/or Carers

Phone #: 

Phone #: 

ABOUT YOUR CHILD:

Please advise any special care needs:

Special dietary requirements:

Allergies: 

EMERGENCY CONTACT DETAILS:

Persons  to contact if you are not at home, who would be willing to collect your  child in case of illness:

Name:

Address:

Relationship to child:

Home Phone #:

Mobile Phone #:

MEDICAL INFORMATION

Doctor’s Name

Surgery Name

Surgery Address

Surgery Phone #

In the event of a medical emergency, do you give permission for a suitably qualified member of staff to administer first aid and/or take your child to the doctor/hospital?

Yes/No                               Signature:

Has your child been immunised against:  yes/no 

Diptheria

Whooping Cough

Tetanus

Hib

Polio

Measles

Mumps

Rubella

Meningitis C

FOR PRE SCHOOL USE ONLY

(Last updated February 2011)

Date Received:

Date Place Offered:

Date Acceptance & Deposit Received

Date Acknowledged:

Date Eligible to Start

ABOUT THE PRE-SCHOOL:

Trinity Pre-school is run by a committee of parents and is a member of the Pre-school Learning Alliance (PLA).  It is also OFSTED inspected.

Anita Gonzalez is the Pre-school Supervisor.

Please ask for a copy of our prospectus for further information about the Pre-school and our policies.  Alternatively, please feel free to make an appointment to visit on 01491 574742 (school hours only). 

ADMISSIONS:

We operate a waiting list policy and will invite “next on the list” when a place becomes available.  When you are offered a place at the Pre-School, an administration fee will be payable to secure your place.  You must accept this place within two weeks of the offer or it will pass to the next child on the list.

POTTY TRAINING: Children should be working towards it! Parents  are asked to provide spare pants and clothes in a named bag.

Session Times
Please see the Parents Information page or the Pre School noticeboard

DATA PROTECTION NOTICE

Trinity Pre-School is a data controller for the purposes of the Data Protection Act 1998.  The Pre-School will process the information supplied on this form for the purposes of admissions and management of the Pre-School, equal opportunities monitoring and for securing the health and safety of the children attending the Pre-school.  By signing this form, you indicate your consent to the processing of personal data as indicated.

FEES

The level of fees will be set by the Management Committee and reviewed annually in the light of the setting’s financial position, its future strategic plans and any other broader economic or social considerations deemed relevant.

Payment of fees should be made weekly/monthly or termly. The treasurer/fees administrator must be informed of which payment method is being used.  Individual payment arrangements will be negotiated between the Management and parents/carers.

Parents/carers wishing to negotiate this or any other alteration to the standard fees policy should arrange a meeting with the Management Committee at the earliest possible opportunity.

If fees are outstanding one week (7 days) after becoming due, a verbal reminder will be issued to parents/carers.  If fees remain outstanding one week (7 days) after the verbal remainder (14 days from the due date) a written reminder will be issued.

If fees remain outstanding after the issue of a written reminder (14 days from the due day), sessions will be withdrawn until the outstanding debt is cleared.  Once payment is received then sessions may be requested following negotiation with the Pre- School Supervisor.

Any person having difficulty-paying fees should speak to the Fees Administrator or the Supervisor. 

The Management Committee reserves the right to take legal action, if necessary, to recover any outstanding payment.

WHAT NEXT

Please return your completed form to the Pre-school or to the office at Trinity Primary School.  We will write to you to acknowledge receipt of your form and you will go on the waiting list.  We will then contact you once a place becomes available (generally in the term before the term in which your child is eligible to start pre-school).

PLEASE NOTE THAT YOU MUST APPLY SEPARATELY  FOR ENTRY TO TRINITY SCHOOL - CONTACT THE SCHOOL OFFICE OR OXFORDSHIRE COUNTY COUNCIL FOR DETAILS

DECLARATION

I understand that if I have not paid my child’s fees by the half term, his/her place at the Pre-school will be withdrawn and allocated to a child on the waiting list, and that steps will be taken to recover any outstanding money.

Print Name (Parent/Guardian)                                                    

Signature                 

Date

***If you wish your child to start at Pre-school on a specific date, please state on this form***