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Glemara Early Years
Crèche & Preschool · Main Street
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Enrolment
Join the waiting list
One form, about three minutes. There is no charge to join the list and no obligation to take a place if one comes up.
About you
Parent or guardian name
Phone
Email
About your child
Child's first name
Child's date of birth
If your baby hasn't arrived yet, leave this blank and tell us the due date below.
Room of interest
Please choose
The Nest (Baby Room) (6 months – 1 year)
Wobblers (1 – 2 years)
Toddlers (2 – 3 years)
Montessori / ECCE Room (2 yrs 8 mths – school age)
After-School Club (4 – 12 years)
Not sure — please advise
Preferred start month
Days and hours
Days needed
Monday
Tuesday
Wednesday
Thursday
Friday
Type of place
Please choose
Full day
Part-time
Sessional (ECCE)
After-School Club
Are you applying for the National Childcare Scheme?
Please choose
Yes
No
Not sure
Anything else
Any additional needs we should know about (optional)
How did you hear about us?
I consent to Glemara Early Years storing the details above so they can contact me about a childcare place. See our
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page.
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