Application Form

Simply click on the 'Print Page' button at the foot of the page to print out this application form, then return to us at the address shown.

RISING FIVES PRE-SCHOOL GROUP

REGISTRATION APPLICATION FORM

Name of Child  
Address  

 

 

Telephone  
Date of Birth  
Signature of Parent / Guardian  
Name of Parent / Guardian
(please print)
 
Allocation of sessions 
Your child will automatically be allocated two afternoon sessions per week when they start Rising Fives. If there are any days your child will not be able attend, please indicate below by deleting where appropriate.
Monday Tuesday Thursday Friday
There is a £5.00 non-refundable deposit to register your child. 
Please complete this form and return it with the deposit to: 
Admissions Officer 
Rising Fives Pre-School Group 
Old School Canteen 
Wells Lane 
Whitchurch 
Hampshire RG28 7AN 
Tel: 01256 893708 
  
Please make cheques payable to: Rising Fives Pre-School Group
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