Childcare Change Request Form

Childs Name:

Date of Birth:

Female Male Unknown

Setting: N/AWisbechMarchPeterborough

Change Type: N/AFoodChange of addressNursery daysNursery sessions // timesNursery sessions // day requirements

Requested Childcare Hours: Minimum of 2 sessions per week
- Monday

- Tuesday

- Wednesday

- Thursday

- Friday

Proposed Change of Hours Start Date:

The following is a list of sessions available:

Full Fee Sessions:

Half days 13:00-18:00

Short days 09:00-15:00 / 07:30-13:30

Part Short Day 08:00-15:30

Part Full Day 08:30-16:30

Full days 08:00-18:00 Full Week 08:00-18:00

Funded Sessions:

Sessions for 15 hours TERM TIME ONLY 13:00-18:00 x 3 08:30-15:30 x 2 Full Year Package

Sessions for 30 hours TERM TIME ONLY 07:30:13:30 /09:00-15:00 XS 08:00-18:00 X3 Full Year Package

Sessions for STRETCHED FUNDING 11/22/22.5 hours Set Sessions see T&C's

Bolt on hours: 08:00 - 08:30 08:30 - 09:00 07:30 - 08:00

Tax Free Childcare : N/AOnlineCardChildcareVouchersFunded ONLY - Monthly

Voucher Code:

Weekly Meals

Are you wanting Lunch, Tea or Both (Food Bundle)?

N/A

Lunch - New Lower Costs Across All Settings (includes hot nutritious main meal with a scrumptious dessert)

Tea - New Lower Costs Across All Settings (includes another hot nutritious main meal with a scrumptious dessert)

Food Bundle - New Lower Costs Across All Settings (Includes both the above)

How many meals a week?

What days in the week?

Monday

Tuesday

Wednesday

Thursday

Friday

Does your child have any Food Allergies Or Food Intolerances? N/AYesNoUnknown

If Yes, then please inform enter details here

Your Details:

Mother's Name:

Father's Name:

Address:

Post Code:

Telephone:

Email:

Date: