Expression of interest | Inspiring Communities Together

Please complete all sections of this form and a member of staff will be in touch to discuss your requirements and
book a registration meeting.
Please note you need to complete one form per child.

Your details

First Name

Last Name

Phone Number

Person (s) who has legal responsibility for the child

Child's details

First Name

Last Name

Preferred name if different from above

Birth Date

Child's age at registration

Street Address

Street Address Line 2

City

Postal Code

State/Province

Gender

Female

Male

Other

Home language spoken

Other Languages Understood

Does your child have identified special needs? If yes, please give details

Does your child currently attend a nursery provision? Please provide details including reason for moving

Has your child previously attended a nursery provision but no longer attends? Please provide details of why

What school does your child attend?

Childcare provision required

For more information about funded childcare places for 2 - 4 year olds see https://www.salford.gov.uk/children-and-families/free-childcare-funding/free-childcare-funding-for-two-year-olds/

For information about our costs for privately paid for nursery and for after school club places, please refer back to our Website

Nursery

Yes

After School Club

Yes

AFTER SCHOOL CLUB: Please indicate your preferred sessions, please note we cannot confirm places until the full registration process is completed

Monday: 3pm - 5pm

Tuesday: 3pm - 5pm

Wednesday: 3pm - 5pm

Thursday: 3pm - 5pm

Friday: 3pm - 5pm

Terms and conditions

Note: We cannot process your request unless this section has been completed

By completing this form:
I understand that I am requesting a place at Yogurt Post childcare provision, and I will be notified within ten days of receipt of this form if I have been allocated a place.
Once a place has been allocated payment needs to be made in full – you will receive an invoice.
There is no reduction for non-attendance or early collection.
If a child is not collected within ten minutes of the agreed time a charge of £5.00 per ten minutes will be added to my bill.
Cancellation of a sessions requires four week’s notice in writing to: childcare@inspiringcommunitiestogether.co.uk
I understand that I may be allocated a place on a day/time other that the one/s I have requested.
We will do all we can to accommodate individual requirements but have to take into account our children and staff ratios.

I agree to abide by Inspiring Communities Together terms and conditions

Yes