Squirrels Nursery Enquiry FormPlease complete this form with as many details as you can, so we can process your child's place as efficiently as possible.Please enable JavaScript in your browser to complete this form.Child's name *FirstLastChilds date of birth *Parent/Guardian Name *FirstLastHome Address *Telephone number *Email address *Please tick which days and times you would like your child to attend *MONDAY - Long DayMONDAY - Short DayTUESDAY - Long DayTUESDAY - Short DayWEDNESDAY - Long DayWEDNESDAY - Short DayTHURSDAY - Long DayTHURSDAY - Short DayFRIDAY - Long DayFRIDAY - Short DayLong day = 8am - 5pm Short day = 9am - 4pmDo you, or will you receive Government Funding? *YesNoIf yes, how many hours funding?15 hours30 hoursWhat date would you like them to start? *Do you require a term-time only place? *YesNoWould you like your child to have a hot lunch & pudding for £2? *YesNoPlease list any dietary requirements belowState the date you completed this form *Submit