Contact Us
- We are happy to answer any questions you may have.
- You can request a convenient time to visit us and see for yourself.
- You can e-mail details of your requirements to be added to our waiting list, and we will let you know approximately how long the wait is likely to be.
Please fill out the form below and we will respond as soon as we can.
Thank you.
Thank you for your enquiry!
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Alternatively you can fill out this application form and send it to us...
Copy and paste the following, complete and post or email to us - thank you -
________________________________________________________
Theobald’s
Child Daycare Service
49 Upper Chapel, Launceston, Cornwall, PL15
7DW Tel: 01566 776256
Application for
Childcare placement
Child’s
name: ___________________________Date of Birth________
Home
Address: ___________________________________________
__________________________Post
Code__________
Home
Phone: ___________________ Mobile: ____________________
Email:
__________________________________________________
Mother’s
Name: _______________Fathers Name_________________
Where
did you hear about us? ________________________________
Date
place required: __________________
(delete as appropriate)
Full-time
/ Part-time / Term-time only / School holidays only / All Year
Free
Nursery Education for 38 weeks per year___________
(Up to 15 hours per week for 3 – 4 year olds
only – please state hours required)
Please state Hours/Days
required:
Morning Afternoon
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
School attended:__________________________________________
Any
other special requirements: _______________________________
(Continue
on back, if necessary)
_______________________________________________________
Parent
1 Signature Date:
Parent 2 Signature Date
________________________________________________________
Please sign the Guest book - your comments will helps us improve our service.
Thank you.
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