“A FUN, SAFE AND HAPPY PLACE
TO LEARN, PLAY AND GROW”
Application to join URC Playgroup
Name of Child______________________________ Date of birth _________________
Name(s) and address(es) of the parents making the application
Postcode
Postcode
Tel no
Tel no
I/We would like_____________________________________________ to attend URC
As soon as possible or from _________________________________________(date)
We would like our child to attend on the following days/sessions
Monday
Tuesday
Wednesday
Thursday
Friday
9.15 – 12.15
9.15 – 12.15
9.15 – 12.15
9.15 – 12.15
9.15 – 12.15
Or
Or
Or
9.15 – 2.15
9.15 – 2.15
9.15 – 2.15
If we find we no longer require the place, we will inform the setting as soon as
possible.
Signature(s) of parents
For setting to complete and return:
A place will be available for___________________________________(child’s name)
On____________________(date) or we will notify you when a place becomes
free.
For the following sessions;
________________________________________________________________________
Signed on behalf of the setting____________________________________________
Name __________________________________________________________________