Pre School Expression of Interest Form

Please complete all fields marked (*)

Your first name *

Your last name *

Your email *

Name of Child

Child's Date of Birth

Contact number

Address

Nursery starting term :

September

January

Easter

Nursery starting year :

(Starting date will be the term following his/her 3rd birthday)

2024

2025

2026

Date request placed

Siblings in school

Does your child have any Special Educational needs? (eg agencies such as Portage/Speech & Language) *

Family circumstances : please tell us if there is anything we should be aware of (e.g. if your child is fostered/adopted/shared care etc)

Please indicate what you would prefer by selecting one of the options below :

Please note : this form is not a confirmation of a place and is purely an expression of interest. Staff will be in contact nearer the time to discuss allocation of places.

Option 1 : Full time 30 hours funded hours (full days 8.45am - 3.15pm).

Option 2 : Full time 15 hours Universal Funding + 15 hours paid (full days 8.45am - 3.15pm).

Option 3 : Morning sessions (Half days 8.45am - 11.45) *15 hours funding.

Option 4 : Afternoon sessions (half days 12.15pm - 3.15pm) *15 hours funding.

Option 5 : Monday & Tuesday full days and Wednesday morning *15 hours funding.

Option 6 : Wednesday afternoon and Thursday & Friday full days.