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 (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 : N/AOnlineCardChildcareVouchersFunded ONLYTax Free Section - 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? N/AYesNoUnknown

If Yes, then please inform enter details here

Your Details:

Mother's Name:

Father's Name:

Address:

Post Code:

Telephone:

Email:

Date: