Small World Registration Form - pre school

Please complete the form below and then print it and return with £25 registration¹ to

Small World
89 Bagley Wood Road
Kennington
Oxford OX1 5NA

Please return this completed form with a registration¹ fee of £25 to
Small World, 89 Bagley Wood Road, Kennington, Oxford, OX1 5NA

Please make cheques payable to Small World Nursery Ltd

Request for a Place - Registration

Date (today's)
How did you hear about us? We offer referral incentives ²
Child's name or "Baby" and future family name
Date of birth or expected date
Home address including Postcode
Home telephone
Mother's full name
Mother's contact numbers and e-mail addresses mobile & work & state times as relevant
Father's full name
Father's contact numbers and e-mail addresses mobile & work & state times as relevant
Reference for your account Please suggest your preference - normally your child's surname 8 characters will be used
Sessions required - from (date) and then tick belowon the next page, or describe preferences

Tick both morning & afternoon for a whole day	Monday	Tuesday	Wednesday	Thursday	Friday
Please tick your requirements or preferences below & describe above any flexibility with these. Please tick your requirements or preferences below & describe on the previous page any flexibility with these. Our policies require a minimum of five sessions ³ A session is a morning or afternoon. So five sessions examples are 2½ days or 5 mornings
Morning 8am - 1pm
Afternoon 1pm - 6pm
School day 8am - 4pm

Has your child attended a Montessori School before?
If yes, please provide name of school, address, phone number and name of Directress

Further notes you may wish to add...

Please note that this form places you on our waiting list but does not guarantee you a place.
We will confirm this in writing with an offer of a place.

¹ The registration is non-refundable, except only for a fully council funded place, and only after a minimum of a complete terms attendance.
² Details of referral incentives are available on request.
³ The minimum session requirement, waived only for a fully council funded place, is to give your child the consistence of input that experience proves is best for them.

Office use ...
Receipt acknowledged on:		__________
Copied to		BR	IC	Casa	AS
Place confirmed on:		__________
Account	__________		opened on	__________
Registration fee received:			_____________
Deposit	__________	Weekly	__________	Standing order	__________
Deposit invoice sent:		__________	Deposit received:		__________
Entered:		Fees	Deposit	Contact	Register