Cheam Baptist Church Pre-school Application

Please complete the form below by 6th March if you are interested in a place for the following academic year. We are happy to consider late applications if we have places remaining; please see our Admissions Fees and Funding Policy for more information.

How Cheam Baptist Church Pre-school handles information about you and your child.
Cheam Baptist Church Pre-school will keep the below information about you and your child confidentially and securely. It will not be shared with anyone else. It will only be used to communicate with you regarding a place at the pre-school and will be deleted if your child does not take up the place. Please see our Privacy Notice.

Child's Surname:
Child's First Name:
Child's Gender:
Date of Birth DD/MM/YYYY:
Address Line 1 (House number/name & road):
Address Line 2:
Postcode:
Phone number:
2nd Phone number:
Email address:
Brothers or Sisters attended (if any):
Does your child have any Special Educational Needs, disabilities or medical needs?
When would you prefer your child to start? (We take children from around 2.5 years depending on availability of spaces)
Is there any other information you would like to give us?
Member of Cheam Baptist Church:
Declaration: I consent to information about me and my child being handled by CBC Pre-school as outlined above.
Parent/Guardian’s name:
Date: