Form

Cheeky Monkeys at Durrell Application Form

All information that we hold will be kept confidential and processed by CMAD Ltd strictly in accordance with the General Data Protection Regulation (GDPR). Such data will be used by CMAD Ltd in accordance with the Day Care of Children (Jersey) Law 2002.

Child's Full Name:
Child's Gender
Child's Date of Birth or Due Date:
DD slash MM slash YYYY
Dietary requirements
Medical history
Parent(s) Names:
Parent's Email Address:
This will be the email used for all nursery correspondence
Parent's home telephone number:
Parent's Address:
Street Address Address Line 2 Parish ZIP / Postal Code

Preferred Sessions

Please tick all sessions required. If you are flexible with your days, then please indicate which days you would prefer. We are offering a minimum of 3 sessions when taken in the morning. If you only require 2 sessions, these must be taken in the afternoon only. A session is either a morning or an afternoon. All day at Nursery will be counted as two sessions.

Monday	Tuesday	Wednesday	Thursday	Friday

Please indicate your second and third preferred alternatives in case your first choice of sessions is unavailable.

Monday	Tuesday	Wednesday	Thursday	Friday

Monday	Tuesday	Wednesday	Thursday	Friday

Start Date*
DD slash MM slash YYYY

Please enter your preferred start date. Thank you, we will be in contact soon.

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