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

    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 : - 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?

    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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