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Dt: 08-01-12
ANIMAL FUN -EVERYONE WELCOME
Saturday 21st January Dubai Silicon Oasis and 28th Umm Sequim 4:00 pm – 6:00 pm
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02 Jan
Term 2 Start
05 Apr
Term 2 End
18 Dec
Festive Camp Start
29 Dec
Festive Camp End
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Preliminary Enquiry Form
Fields marked with
*
are mandatory
*
First Name:
*
Middle Name:
*
Surname:
*
Gender:
Male
Female
*
Date of Birth:
(e.g. 25/05/1995)
Nationality:
*
Child's first language:
*
Father's Name:
*
Mother's Name:
Nationality:
Occupation:
*
Company Name:
*
Contact Details:
Work
Mobile
Home
*
Email:
In the event of an emergency, please nominate someone that will act on your behalf.
*
Name:
Nationality:
Occupation:
*
Company Name:
*
Contact Details:
Work
Mobile
Home
*
Email:
Ideal starting date:
(e.g. 25/05/1995)
Sunday
Monday
Tuesday
Wednesday
Thursday
Baby Haven (4months – 18 months)
8:00 - 1:00
8:00 - 6:00
Toddler / Nursery (18 months – 3 years)
8:00 - 1:00
8:00 - 6:00
Preschool 1(3 years plus)
8:00 - 2:00
8:00 - 6:00
Preschool 2 (4 years plus)
8:00 - 2:00
8:00 - 6:00
Breakfast will be served between 7:30 am and 8:00 am
Do you require transport?
Yes
No
If yes, Please indicate your residential address location (street name and area)
Do you have any brothers or sisters?
If yes, kindly provide their names and ages
Name:
(F/M):
Age:
Name:
(F/M):
Age:
Name:
(F/M):
Age:
How did you hear about us?
Newspaper
Please specify
Magazine
Please specify
Banner
Word of mouth
Flyers
Website
Please specify
Does your child have any developmental and/or any medical problem?
Yes
No
(Maximum 500 characters allowed)
I confirm that the information I have given above to The Kensington Nursery is true and correct to my knowledge. I understand and accept that if the information I have provided is false or misleading; and/or fail to pay the nursery fees; and/or I fail to abide by The Kensington Nursery policies and/or I fail to complete the necessary paper work, it is likely that my child will lose his/her place at The Kensington Nursery, and I may forfeit any deposits made.
You must agree with Terms & Conditions
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