D.O.B.

Parent’s name/s

Address

Home telephone No

Other contact No

Please indicate preferred attendance days: -

Monday
A.M. Session / “Lunch Club” /Commencing:

Tuesday
A.M. Session / “Lunch Club” /Commencing:

Thursday
A.M. Session / “Lunch Club” /Commencing:

Friday
A.M. Session / “Lunch Club” /Commencing:

Has your child previously attended: Parent & Toddler group?

Other?

Which?

Does you child attend/plan to attend other Pre- school/nurseries?

Which?

Which school will your child be attending?

When?

Have you visited pebbles before and attended a pre-school session?

Would you like to visit?

(please contact the pre- school leader to arrange a mutually agreeable date)

From where did you learn about Pebbles?

Is there any thing else about your child that you think the pre-school staff should be aware of in order to help understand him/her better?

all information will be kept confidential

Signature

date

(Completion of this form does not guarantee attendance at pebbles, although we will try to accommodate your child’s needs).

Please complete and return this form as soon as possible to - Pebbles Enrolement Officer, Sarah Wing, C/o Avebury Primary School, High Street, Avebury, Wilts, SN8 1RF