Nursery Enquiry Form - Leicester College

First name *

Last name *

Contact number *

First line of address

City

County

Postcode

Email *

First name of child 1

Last name of child 1

Date of birth of child 1

First name of child 2

Last name of child 2

Date of birth of child 2

First name of child 3

Last name of child 3

Date of birth of child 3

Please tell us which nursery you would like to use

Please tell us which days and times you'd like to use the nursery

Do you need childcare all year round or only during term time?

All year round Term time only

Are you aged 19 or under?

Yes No

Please tell us about the course you are/will be studying. Or if you're a member of staff tell us your job title and the department you work in.

I consent to having Leicester College store my submitted information so they can respond to my inquiry *

The manager from the nursery you select will get in touch for the next stage of your enquiry and give you details in how to enrol your child.