Register your interest Please complete this form to register your interest in a place at Crackerjacks for your child. Child's Name* First Last Child's Date of Birth* DD slash MM slash YYYY Child's GenderMaleFemaleAddress* Street Address Address Line 2 City Post Code Parent/Carer's Name* First Last Contact Telephone Number*Parent/Carer's Email address* Which is your preferred location?*Cringleford Crackerjacks Preschool – Dragonfly LaneCringleford Crackerjacks Nursery – The Jubilee CentreNot sure yetStart Date – At what age would you like your child to start? (We take children from the age of 2 at our Nursery or from the age of 2.5 at our Dragonfly Lane Preschool)*As soon as possibleNot sure yetOther – please state in Additional Information below*Government Funding starts from 1st January, 1st April or 1st September following your child’s 2nd or 3rd birthday. Please check eligibility What hours are you interested in? (Our Nursery is open from 8.00 am to 6.00 pm and our Dragonfly Lane Preschool is open from 8.45 am to 3.30 pm)* Mornings only Afternoons only Whole days Not sure yet Which days are you interested in?* Mondays Tuesdays Wednesdays Thursdays Fridays Not sure yet Are you interested in Term time only or all year round (48 weeks)? (48 week contracts are only available at our Nursery)*Term time onlyFull Year (48 weeks)Not sure yetDoes your child have a sibling attending Cringleford CE VA Primary School? (Only applicable if applying for our Dragonfly Lane Preschool) Yes No Not applicable How did you hear about us?*Word of mouthSocial mediaGoogle searchNewsletter or leaflet through letterboxLocal media e.g. Just Eaton & Cringleford magazineOtherAdditional Information or RequirementsPlease let us know if there is any other information about your child that you would like us to know or if you have any particular requirements e.g. hours needed
