Small World   Registration Form

Club or After School only

Please complete the form below and then print it and return with £25.00 registration to

Small World
89 Bagley Wood Road
Oxford OX1 5NA

Please return this completed form with a registration fee of £25.00 to
Small World, 89 Bagley Wood Road, Kennington, Oxford, OX1 5NA

Please make cheques payable to Small World Nursery Ltd

Request for a Club or After School Place - Registration

Date (today's)
Club Monday Tuesday Wednesday Thursday Friday
After-School 3pm - 6pm

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 Details of referral incentives are available on request.

Office use ...
Receipt acknowledged on: __________
Copied to 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