Apply Online | Breakspeare Community Preschool

If you have decided you would like your child to apply for a preschool place at our
preschool then it is advisable to complete an application form as early on as possible as we usually have a waiting list and can not always guarantee every child a place.

Fields marked with * must be completed.

The purpose of collecting the information on this form is so that we can put your child into the correct year’s intake and so that we can contact you in the future when we are offering places. We do not share this data with any third parties. If you have any further questions, please contact us on 01923 274483.

Child's Name*
First Last
Child's DOB*
Child's Gender*
Relationship to Child*
Address*
Address line 1 Address line 2 Town/City County Postcode
Parent's Name*
Mobile contact number*
Home contact number 1*
Home contact number 2
Email address*
Enter Email Confirm Email
If you have an older child who has attended our Preschool please put their name here
Special needs/Important info
Child's NHS number*
Would you like your child's place to start immediately after their 2nd birthday or would you prefer to wait until the following September?*
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Name
This field is for validation purposes and should be left unchanged.