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Registration Form

Please print this form and return it to

Small World
89 Bagley Wood Road
Kennington
Oxford OX1 5NA

Request for a Place – Registration

Date (today's)  
How did you hear about us?


Child's name
 or "Baby" and future family name 		 

Date of birth
 or expected date

 
Home address
 including Postcode

 

 

Home telephone  
Mother's name  

Mother's contact numbers
and e-mail addresses
mobile & work & state times as relevant

 
Father's name  

Father's contact numbers
and e-mail addresses
mobile & work & state times as relevant

 

Sessions required - from (date)
and then tick below, or describe preferences

 

  Monday Tuesday Wednesday Thursday Friday
Morning          
Extended hour          
Afternoon          

Has your child attended a Montessori School before? YES / NO
If yes, please provide overleaf name of school, address, phone number and name of Directress in charge (PTO)

Further notes you may wish to add, please tick here and write overleaf PTO

Please return this form with a registration fee of £25.00 to

Small World, 89 Bagley Wood Road, Kennington, Oxford, OX1 5NA

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.