Registering an Interest Form

We charge a non-refundable registration fee of £25 to cover administration costs. You may pay via bank transfer or donate button. We do not accept cash or cheques.

Bank Details	Donate via Charity Choice
Under Fives Roundabout Sort Code: 40-52-40 Account: 00012801 Put your child’s name in the reference.	Put your child’s name in the message field.

Child's Name		MaleFemale
Child's Date of Birth
Parent/Carer's Name
Street and House Number
Town/City
Postcode
Email
Phone Number

I am interested in registering my child for Under Fives Roundabout

From 2 years 9 months to almost 4 yearsFor the year before my child starts school

Note any special circumstances regarding your child or family

If your financial circumstances mean you will have difficulty paying the registration fee, please contact the nursery manager, Sam Capes using the contact details on Staff page.
Please understand, submitting this form does not commit you to accepting a place for your child nor does it guarantee a place for your child.
We will acknowledge receipt of this form (by email if possible) within two term-time weeks.
Data Protection: We will not pass your contact details on to anyone else without your permission.
If you prefer, you can print out the Registration Form and post it into the Roundabout post box on the gate.