Apply For Us

Registration Form

If you’re interested in your child joining our nursery, please fill out an application form below, and give us a call or pop in to start the process!

Child's Full Name

Date Of Birth

Gender

Male Female

Home Address

Home Language

Contact Telephone Number

Contact Email Number

Parental Responsibility (Parent/Carer)

Known Allergies

Dietary Requirements

Details of current/upcoming medication

Name

Phone

Relationship to child

Home address

Name

Phone

Relationship to child

Home address

Age Group

0 - 2 Years 2 - 3 Year 3 - 5 Years

Sessions

Morning: 9am - 12pm Afternoon: 12:30pm - 3:30pm Full Day: 9am - 3:30pm

All data sent using this form will be sent securely only to the intended recipients at Rise & Shine Luton.