Register for our pre-school nursery


Child's Details
Child's Name *
Date of Birth *
Gender *
Nationality *
Religion *
Culture *
Spoken language *
Parent's Details
Parent's Name *
Email address *
Address *
Postcode *
Home Telephone *
Work Telephone *
Mobile Telephone *
Emergency Contact Information
Emergency Contact Names & Numbers *
Medical Information
Food & other allergies *
Child's Doctor's Name & Address *
Child's Doctor's Telephone number *
List of Innoculations *
Tetanus Protection *
Tetanus date *
Preferred Sessions
Preferred start date *
Monday *
Tuesday *
Wednesday *
Thursday *
Friday *
Additional message
Type verification image * verification image, type it in the box
* indicates required field.


You can also download our form as a PDF or print it off and send it in to us - CLICK HERE >>

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Downside Nursery School, The Old School, Downside Road, Cobham, Surrey, KT11 3NA