Registration information

To register your child’s place at High Bank Day Nursery please fill in and send the online form below. Alternatively you can print off and return the attached form here.

Child details

1. Name of child
2. Date of birth
3. Start date
4. Place of birth

Service and days required (please tick as appropriate)

Nursery Breakfast Club

After School Club Holiday Club

Monday AM PM

Tuesday AM PM

Wednesday AM PM

Thursday AM PM

Friday AM PM

School details (if applicable)

1. Name of school
2. School tel.

Mother/Guardian details

1. Name
2. Address
3. Postcode
4. Home tel.
5. Mobile tel.
6. Place of work
7. Work tel.
8. Parental responsbility Yes No
9. Email

Father/Guardian details

1. Name
2. Address
3. Postcode
4. Home tel.
5. Mobile tel.
6. Place of work
7. Work tel.
8. Parental responsbility Yes No
9. Email

Submit your registration