GLO Childcare and Education Enquiry Form

Thank you for your interest in GLO Childcare and Education. Please complete this form and a member of our team will be in touch. Fields marked with an asterisk are required. Please note that submitting an enquiry does not guarantee a childcare place. Places will be confirmed subject to availability and completion of the full registration process.

Child's Details

Please provide details of the child requiring a nursery place

Child’s name(Required)

Full Name

Child’s date of birth(Required)

Preferred start date(Required)

Preferred start Year

Languages spoken at home

Please list all languages regularly spoken in your household.

Parent or carer details

parent or carer’s name(Required)

Full Name

Relationship to the child(Required)

Phone(Required)

Email(Required)

Child’s home address

Street Address Address Line 2 City County Postal Code

Childcare funding

How do you expect to pay for your childcare?(Required)

Funded childcare only

A combination of funded and privately paid childcare

Privately paid childcare

Not sure yet

Nine-month or two-year funding code

Enter your code if it is currently available. You may leave this blank if you have not yet received it.

Thirty-hour funding code for children aged three to four

This can be left blank if not yet available.

Additional information

How did you hear about GLO Childcare and Education?

Is there anything else you would like us to know?

You may use this space to tell us about allergies, dietary requirements, additional needs or anything else that may help us understand your childcare requirements. Please do not provide detailed medical records through this form.

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Register your interest in GLO Childcare and Education

Register your interest