Playwell Application

We will be happy to tell you more about Playwell, but for security reasons you must first tell us your identity and contact details. We will then get in touch with you with more information.

Your Name:  

Your email:  

Your postal address:

Your telephone number:

Please give details of your enquiry in the box below.

 

If relevant, you may wish to give the optiional details below, otherwise please just send us the form ... 

Child name:  

Child date of birth:

Ethnic origin:
(This detail will be required for our grant application)

School or Nursery transferring FROM:

Date transferring (if known):

How many sessions would you like initially? :
(3, 4, or 5 - Playwell endeavour to offer a minimum of 3 sessions)

If there is a day when your child would NOT be able to attend, please tell us:

  

 

 

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