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Application to join. Pop Up Nursery, Venture Centre, 103A Wornington Road, London, W10 5YB Nicola 07741248301, Nursery Number 07437057411, Venture Centre 020 8960 3234

  • Child's Details

  • Date Format: MM slash DD slash YYYY

  • Parent/Carer Details

  • Session request

  • Date Format: MM slash DD slash YYYY
  • Please tick the sessions you would like your child to attend

  • Terms and Conditions

  • This application places your child on our waiting list. We will contact you as soon as a suitable place becomes available. Please note that completion of this form does not guarantee a place for your child. Once your child is offered a place and you accept it, on admission further personal information and family details are required for our records. Your child’s birth certificate is required at this point with a copy made for our file. If you find that you no longer need the place, please inform us as soon as possible. Should you decide you no longer need the place we will not retain the details on this application form (see our Privacy Notice).
  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.