Nursery Waiting List | Little Feet

Parent's name *

Email address *

Phone number *

Child's full name *

Child's date of birth *

What day's do you require? (if you are unsure, state the days that are most likely) *

Monday
Tuesday
Wednesday
Thursday
Friday

Will you be using the government funding? *

15 hours
30 hours
Other

What date do you wish for childcare to commence? *

On date of commencement, what room will your child be in? *

Baby nook (0-2 years)
The Nurture Room (2-5 years)

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