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Child's D.O.B

Gender

Primary Parent's First Name

Primary Parent's Last Name

Relationship To Child

Phone

Preferred Start Date

*Earliest Start From 6th January 2026

Days Needed Per Week?

Preferred Days

Will You Use Government Childcare Funding?

Which Funding Type?

GOVERNMENT FUNDING OPTIONS: UPTO 30 HOURS FREE CHILDCARE PER WEEK This could save you approximately: • £1,500/month for under 2s • £1,100/month for 2 year olds • £800/month for 3-4 year olds Worth up to £7,500 per year! 🎉 *15 hours universal (Age 3-4 years) - everyone *30 hours working parent (Age 9 months+) - requires code *15 hours disadvantaged (Age 2 years) - income-based *Tax-Free Childcare - for extra hours *Not sure

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