Nursery application form

Personal details

Child's name

First

Last

Address

Postcode

Child's date of birth

Parent/carer name (1)

First

Last

Relationship to child

Address (if different from child's)

Home telephone number

Mobile phone number

Parent/carer name (2)

First

Last

Relationship to child

Address (if different from child's)

Home telephone number

Mobile telephone number

Two year old children only

If you have a two year old please check to see if your child is eligible for two year old funding before handing this form in. Please go to www.myearlylearning.co.uk and place your eligibility code below:

Two year eligibility code

(This could help your child access a place quicker, as some places are reserved for children with two year old funding.)

Please be advised that this application form and offer of a place is subject to our terms and conditions provided to you. By signing this document, you acknowledge that you have read, understood and agree to these terms and conditions and agree for this information to be shared with Tower Hamlets Local Authority to check your child’s funding eligibility.

Nursery application form

Register for the nursery waitlist

Personal details

Two year old children only