Tel: 01472 315530
Email: littlestars@grimsby.ac.uk
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Little Stars Nursery Application Form

If you would like to download our paper version to fill in please click here to download and print and return to us.

Once you have filled in and completed this online application, please download the Emergency Contact Information form via http://www.gifhelittlestars.co.uk/documents/part-application.pdf

Complete in full with photos attached and bring it along with your I.D(s) to Little Stars Day Nursery.

Please fill in all the required feilds markeked with an asterix*

  • Step 1 Your Childs Details
    Your Childs name is required and only use letters.
    Please enter your childs date of birth.
    Please select the Gender of your child.
    Please enter your Address.
    Please enter your postal code.
    Please enter the childs Next of Kin.
    Please add your Parental Responibility.
    Please add the childs language.
    Please enter the childs Next of Kin.
    Please enter your email address that you would like the confirmation email to be sent to.
  • Step 2 Parents Details
    Mother's Details
    Your name is required and only use letters.
    Please add your mobile number.
    Please enter your date of birth.
    Please enter your place of work.
    Please enter your email address.
    Please add your works telephone number.
    Farther's Details
    Your name is required and only use letters.
    Please add your mobile number
    Please enter your date of birth.
    Please enter your place of work.
    Please enter your email address.
    Please add your works telephone number (numbers only).
  • Step 3 Doctor & Immunisations
    Doctors Details
    Please enter the Doctors name.
    Please enter the health visitors name.
    Please enter your childs doctors Address.
    Please add your childs doctos telephone number.
    Immunisation Information

    Please add the dates of your childs Immunisations

    Please enter your Diphtheria Immunisation Date.
    Please enter your HIB Immunisation Date.
    Please enter your MMR Immunisation Date.
    Please enter your Whooping Cough Immunisation Date.
    Please enter your Polio Immunisation Date.
    Please enter your Tetanus Immunisation Date.
  • Step 4 Dietary and other information
    I acknowledge the fact that Little Stars Day Nursery adheres to the Special Educational Needs Code of Practice and that staff have a duty to keep records with regard to Safeguarding children issues. Outside agencies may be contacted for further assistance regarding the above if the staff feel it would be beneficial to both child and parent/carer.
    Please check box to confirm you agree
  • Step 5 Session Requirement

    Please add below in numbers the session requirements you are wanting for your child.

      MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
    AM
    PM
  • Step 6 Permissons
  • Step 7 Declaration and Submit
    Payment Policy

    We aim for our setting to be realistic and flexible with our fees and payment policy whilst being competitive with our competitors, however it is necessary within our nursery to have set guidelines so we are all clear of our expectations.

    Please read our full payment policy here

    Please check box to confirm you agree to the full payment policy here