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01534 811 811
Town Hall, PO Box 50, York Street, St Helier, Jersey, JE4 8PA.
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Please select the nursery you are interested in and complete the form. Once submitted, your child's name will be put on the waiting list and you will be contacted shortly regarding the application.
* All fields marked with an asterisk are required.
Which nursery would you like to apply for?
*
Westmount Day Nursery
Avranches Day Nursery
Child's name
*
Child's D.O.B
*
Parent's names
*
Address
*
Post code
*
Home Tel
Mobile
Work Tel
Email Address
*
Weekly hours of attendance required:
Monday (from/to)
Tuesday (from/to)
Wednesday (from/to)
Thursday (from/to)
Friday (from/to)
Please note: COMPLETION OF THIS FORM DOES NOT GUARANTEE A NURSERY PLACE
Please enter the characters visible in the image