Admissions | The Wendy House

If you require any support to complete this form we would be happy to help, please ask

This application places your child on our waiting list. We will contact you as soon as a suitable place becomes available.

Please note that completion of this form does not guarantee a place for your child.

Childs Information

Childs full name (on Birth Certificate) *

Childs Preferred Name (if any)

Childs Date of Birth *

Childs Gender *

Male
Female

Primary Parent/Guardian

Primary Parent/Guardian Full Name *

Do you live at the same address as the child *

Yes
No
Shared Care
Other

Phone Number *

Occupation *

Email Address *

Government Funding

Are you entitled to Government Funding *

Yes (please provide your National Insurance Number)
No
Unsure

National Insurance number

Funding type

15 Hours - 2 year old funding
30 Hours - working parent
No funding- I will be paying
Unknown

Funding Code (if known)

Preferences (subject to availibility)

Preferences *

I would like to use my funded hours (as above) and do not wish to pay for any extra
I am prepared to pay for any sessions/hours in excess of my child’s funded hours

Preferred Start date ( We are able to allocate sessions to children from the age of 2 years) *

Preferences *

Full days
Half days
Both
No preference

Preferred schedule preference *

Monday am
Monday lunch
Monday pm
Tuesday am
Tuesday lunch
Tuesday pm
Wednesday am
Wednesday lunch
Wednesday pm
Thursday am
Thursday lunch
Thursday pm
Friday am
Friday lunch
Friday pm

How many days *

1 day
2 days
3 days
4 days
5 days

The Wendy House is committed to providing equality of opportunity and anti-discriminatory practice for all children, staff and visitors. We do not discriminate against a child or their family, or refuse admission to our preschool based on ethnicity, culture or religion, home language, family background, learning dificulties, gender or ability.

Medical Information

Does your child have any allergies and/or medical conditions? *

Yes
No

If yes please provide brief details

Have they been confirmed by a GP or a medical practitioner? *

Yes
No
Awaiting results
No allergies or medical conditions

Additional Needs / Special Educational needs

Does your child have any additional needs or special educational needs ( please select all that apply) *

Yes
No

Status of needs

Diagnosed condition ( please detail diagnosis below)
Suspected / emerging needs - not yet diagnosed. ( please describe below
Currently going through assesment or diagnosis (Agency or service involved?)
EHCP (Educational Health and Care Plan) in place ( please provide EHCP number below
EHCP application in process
DAF ( Disability Access Fund) eligible / currently receiving DAF
Other

If you have selected any of the above please provide details below

Support Your child currently receives *

No support required
Speech and Language Therapy
Physiotherapy
Occupational Therapy
SEND Inclusion Plan
Other

Additional Information

Your child is able to attend The Wendy House preschool until they start primary school. We follow the same Early Years foundation stage (EYFS) as school nurseries - meaning that children recieve the same high-quality educational framework in a smaller, more nurturing environment.

Do you plan to stay with us until primary school? We understand this may change due to changes in circumstances) *

Yes
No

If no - Please tell us the name of the pre-school/nursery that your child will be moving to and when

Has your/does your child attend another setting? *

Yes
No

How did you hear about us? *

Siblings attended
Recommendation
Facebook
Instagram
Website
Internet search
I live locally and have noticed the preschool

Is there anything else you would like us to know about your child?