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REGISTRATION

We look forward to welcoming you at K&O Childcare

We appreciate being trusted with your most treasured possessions this is why we pride ourselves on having a nurturing environment where our children feel safe and able to learn.

After completing your registration below we will be in contact with an offer to visit the nursery. Please bring the following along with you:

• £30.00 Application Fee

• Birth Certificate

Contact Us

Child's First Name

Surname

Date of Birth

Gender

Male

Female

Child's Full Address

Mother's Full Name

Mother's Occupation

Mother's Telephone No

Mother's Email

Mother's Nationality

Mother's Address (if different from above)

Father's Full Name

Father's Occupation

Father's Telephone No

Father's Email

Father's Nationality

Father's Address (if different from above)

Days Required for Childcare (approximate)

Monday

Tuesday

Wednesday

Thursday

Friday

Child's First Language

Child's Ethnicity

Child's Religion

Please advise us which of the following you will be using

Working Tax Credit

Universal Credit

Free early education extended entitlement for 3 & 4 year olds

2 year old free entitlement

Universal free early education entitlement for 3 & 4 year olds

Student Finance

Will your Employer/College/University or Other be assisting with Nursery Fees?

Yes

No

Please select the following that you require

Full-time Place (Mon-Fri 8am-6pm)

Part-time Mornings (8am-1pm)

Part-time Afternoons (1pm-6pm)

Daily Place (8am-6pm)

How many days are required per week?

Required Start Date

Do you Require Breakfast Care? (7-8 am)

Yes

No

Maybe/Not sure

Do you Require After-school Care? (6-6.30 pm)

Yes

No

Maybe/Not Sure

Please give details of any particular preferences or requests you would like staff to be aware of e.g. religious, sleeping requirements, dietary

Has your child been to any nursery or childcare facility before?

Yes

No

If YES please give details

Would you like to add any further information or a message?

Name of Parent Completing Registration

Opt-In

By checking this box you agree to share your form responses with Butterfly Lane Nursery.

Thank you for contacting us.
We will get back to you as soon as possible

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If you wish to print and complete our application form instead you can download this below:

Download Application Form

Mon - Fri: 8:00 am - 6:00 pm
Sat - Sun: Closed

Contact Us

0207 701 3320

Find Us

Sumner Rd, London SE15 6JL, UK

Find Us

161 Sumner Rd, London SE15 6JL

Mon - Fri: 8:00 am - 6:00 pm
Sat - Sun: Closed

7:00 am - 8:00 am | Breakfast Care (pre-book)
6:00 pm - 6:30 pm | After Nursery Care (pre-book)
We offer holiday schemes in all school holidays

Contact Us

0207 701 3320

Did you know we have another nursery in East Dulwich?

VISIT BUTTERFLY LANE

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