Childcare Change Request Form

    Childs Name:

    Date of Birth:

    Setting:

    Change Type:

    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 (5 hours)

    Short days 08:00–14:00 / 09:00–15:00 (6 hours)

    Part Short Day 08:00-15:30 (7.5 hours)

    Part Full Day 09:00-17:00 (8 hours)

    Full days 08:00-18:00 (10 hours)

    Full Week, Monday to Friday 08:00-18:00 (10 hours)

    Funded Sessions:
    Sessions for 15 hours TERM TIME ONLY - 13:00-18:00 x 3 or 08:00-15:30 x 2

    Sessions for 30 hours TERM TIME ONLY:
    08:00-14:00 X5
    09:00-15:00 X5
    08:00-18:00 X3
    09:00–17:00 X3 + 08:00–14:00 or 09:00–15:00
    Full Year Package- Term Time only 38 weeks + 12 additional weeks totalling 50

    Sessions for STRETCHED FUNDING for 11/22/22.5 hours, set sessions
    – please see T & C’s

    Bolt on hours: 07:30 - 08:00 08:00 - 08:30 08:30 - 09:00 12:30 - 13:00

    Method of Payment : - Monthly

    Voucher/Funding 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 - (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?

    If Yes, then please inform enter details here

    Your Details:

    Mother's Name:

    Father's Name:

    Address:

    Post Code:

    Telephone:

    Email:

    Date:

     

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