Woodford Pre-School Playgroup
Admissions Form
Memorial Hall, 209 High Rd, South Woodford E18 2PA  Tel: 07748 637157
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Child’s Full Name: 
Date of Birth:                  /           / 
Home Address :  


Parents / Carers Name:   
Home Phone:                                       
Mobile/Work Phone:   
Email:   
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 Please TICK the days you would like your child to attend the Playgroup.  Note that we will always try to accommodate parent’s/carer’s preferences but sometimes this may not be possible due to pressures of numbers of children attending on particular days.

[      ]  Monday   
[      ]  Tuesday   
[      ]  Wednesday   
[      ]  Thursday   
[      ]  Friday   
[      ]  Tuesday pm (Over 3 yrs old)     
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 ROTA DUTY
Parental involvement in Rota Duties is a vital part of the running of the Playgroup and of benefit to the children and ensures the staff are able to focus on the children. Rota duties normally involve helping on the crafts table, kitchen assistance and admin tasks.
Are you able to participate in the Rota Duty? Please TICK 
         
[      ] YES        
[      ] NO      

If you are unable to participate in rota duty, a charge of £10.00 will be added to your invoice for each duty per half term.  (i.e. one duty if your child attends one or two sessions per week, two sessions if your child attends 3 or more sessions per week).
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 ADDITIONAL CHILD SETTLING INFORMATION
Does your child have any particular likes    


Does your child have any particular dislikes    


Names of friends / relatives already attending playgroup 


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 UNIFORM
We have available for sale a non –compulsory one size uniform to protect the children’s clothes when we are painting, sticking and cooking and to create a sense of unity – would you like to order any? If so insert the Number of items in the boxes below.

[      ] T-shirts    £5.50   
[      ] Sweatshirt    £8.00   
[      ] Hat   £4.00
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 FOR PLAYGROUP USE ONLY
Confirmed days   
[      ]  Monday   
[      ]  Tuesday   
[      ]  Wednesday   
[      ]  Thursday   
[      ]  Friday   
[      ]  Tuesday pm (Over 3 yrs old)                            

Amount received    £  __________________
Start Date__________________________
On Database_________________ 
Initials________________
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