Application to attend CGN Interested in sending your child to Collingham Gardens Nursery? Please fill out our application form. Parent/Carer 1 Name * First Name Last Name Parent/Carer 1 Email * Parent/Carer 1 Phone * (###) ### #### Parent/Carer 1 Address * Parent/Carer 2 Name First Name Last Name Parent/Carer 2 Email Parent/Carer 2 Phone (###) ### #### Parent/Carer 2 Address Child's Name * First Name Last Name Child's Address * Child's Date of Birth * MM DD YYYY Child's current age * Child's gender * Preferred date for your child to begin attending CGN * ballpark is fine MM DD YYYY Are you eligible to receive 30 hours of free childcare? * To check your eligibility, please go to https://www.gov.uk/free-childcare-if-working/check-youre-eligible Yes No I'm not sure Are you eligible for the Camden Enhanced Offer (CEO) 30 hours of free early education? * This applies if you are eligible for 15 hours of free childcare from the Deptartment of Education but not 30. Please check your eligibility here: https://tinyurl.com/2nbft7sp Yes No I'm not sure Do you plan to use only funded hours? * We are open 48 weeks a year, 8.15-5.45. Our core hours run 9-5pm. If you have 30 hours of funding, your child can attend for free 3 days a week from 9-4:50pm. If you have 15 hours of funding, your child can attend for free 1 full day and 1 day until 12:45. If you would like to attend any more hours than those stated above (e.g. more than 1.5 days with 15 hours; more than 3 days with 30 hours; using extended hours), the answer to this question is 'no' and you will have a monthly fee to pay based on our fee chart. Yes No I'm not sure Preferred days for your child to attend: If you plan on using only funded hours, you may state your preferences here, but days will be allocated in agreement with the nursery manager. 30 hours of funding will allow you 2 or 3 days free; 15 hours of funding will allow 1.5 days free. Please see our Admissions and Fees page for more information. Has your child attended any kind of childcare setting before? Nursery Childminder Nanny Playgroups with carer No, none Is there a sibling at CGN already or has there been? Yes No Are there any special educational needs, medial or social factors or information we should know about? * Yes No Have you already visited CGN? No Yes How did you hear of us? It really helps us to know, thank you. Daynurseries.co.uk Google Word of Mouth Other Are there any other questions we can answer for you? Anything else you would like us to know? We collect the information here for your application to attend Collingham Gardens Nursery. We will not share any information with any 3rd parties or use it for any other purpose. * I consent to sharing this information for the purpose of applying to CGN I agree Thank you! We have received your application. Our nursery manager will be in touch shortly.