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Application to join the Pines Preschool

Child's Full Name: Date Of Birth (DD/MM/YYYY):
Home Address:
Telephone: Mobile:

How did you hear about the Pines Preschool?
Recommendation from a friend. Our website.
Previous child attended. Hertford & Villages Children's Centre.
Data retention - we are required to retain the information provided on this form whilst your child is attending the pre-school, and for a period of time afterwards.  Our privacy policy can be viewed here.
Declaration: I wish to apply for a place at the Pines Preschool.
Name of Parent/Guardian:
Digital Signature: By ticking this box you are confirming this application with a digital representation of your signature. Date (DD/MM/YYYY):