Child Application Form – Little Wonders Nursery

Dear Parent/Guardian,

Please supply all the information requested below. We will endeavour to contact you within 2 weeks.

Nursery*
Name of Parent/Guardian*
Address*
Street Address Address Line 2 City State / Province / Region Postcode Country
Email Address*
Contact Telephone No.*
Child's Name*
Please type the full name in below as it appears on the birth certificate.
First Last
Date of Birth*
MM slash DD slash YYYY
Gender
Ethnic Origin
Does your child have any special needs OR Does your child suffer from any medical conditions or have any allergies? Eg Eczema, Asthma, Food allergies If yes, please specify
Please specify:
Has your child attended any other nursery/school? If yes, which nursery/school and how long?
Please specify:
Do you have any other children attending Little Wonders (or have submitted Application forms in for)? If yes, please provide name, DOB and class below.
Please specify:
Please upload a copy of the birth certificate. At a later stage you will also be asked to bring the original of the certificate for verification purposes.
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 12 MB.
Name
This field is for validation purposes and should be left unchanged.