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Free Two-Year-Old Nursery/Childcare Place Application
This application form will enable you to quickly check whether your child is eligible for a free place.
About your relationship to the Child
Are you the Parent, Carer or Guardian of the child?
Please tell us your name
Are you completing this on behalf of a local authority?
What is your relationship to the child?
What is your main contact number?
Have you obtained consent from the child's Parent, Carer or Guardian to act on their behalf?
Is the childcare provider you are using or thinking of using in our area?
Your child's date of birth.
We use this to confirm that your child is the right age.
What is the child's Date of Birth?
Consent to share information
To check your eligibility for the free childcare, we will have to share your information with the relevant agencies that can confirm any benefits you claim and your income. We will also check which childcare providers are in your area. Your information will be stored on our database securely and not shared with any other persons or organisations for any other purpose. Please tick below to show that you understand how we will be using your information and that you give consent to us running this check for you.
Do you consent to the information you provide being used to process this application for Funded Early Learning? Do you agree that we can contact other sources as allowed by law to verify your initial and ongoing entitlement?
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