Application Form

Simply complete and return it 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)
 
If you find that you no longer need the place, please inform the pre-school as soon as possible.

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 Wednesday Thursday Friday
There is a £10.00 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