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Trinity Pre-school Application Form |
Reg.
Charity no.1023282 |
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Vicarage Road, Henley-on-Thames, Oxon RG9 1SE |
Phone: 01491 574742 |
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CONTACT
DETAILS |
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Child’s
Surname |
Home
Address |
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Child’s
First Name |
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Date of
Birth |
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Home Phone #: |
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Mobile Phone # |
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Name of
Parents and/or Carers:
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Phone #:
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Phone #:
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ABOUT
YOUR CHILD:
Please advise any special care needs:
Special dietary requirements:
Allergies:
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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 #: |
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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
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FOR
PRE-SCHOOL USE ONLY
(Last updated 01 June 2007) |
Date
Received:
Date
Place Offered:
Date
Acceptance & Deposit Received: |
Date
Acknowledged:
Date
Eligible to Start:
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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.
Pip Robinson 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.
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SESSION TIMES
We
run morning and afternoon sessions 5 days per week for 2½ to 5
year olds.
Morning: 9.00 – 11.30am
Afternoon: 12.30 – 3.00pm
LUNCH CLUB
A
lunch club runs on Mondays and Wednesdays from 11.30am –
12.30pm. This is available for children who are 4 years old.
Please note that there are limited places available. |
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. |
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***
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