Expression of Interest

Tell us about your child — completing this form keeps you informed as spaces become available.

Opening hours: 8:00am – 5:30pm. Main session: 8:00am – 4:30pm, Monday to Friday. Completing this form does not guarantee a place. Funded-only places are limited — please register early. Open days coming soon.

Section 1

About Your Child

Child's full name*

Date of birth*

Gender

Home address line 1*

Home address line 2

Postcode*

Section 2

Parent / Carer Details

Parent / Carer full name*

Relationship to child*

Phone number*

Email address*

Home address (if different from child) — line 1

Home address (if different from child) — line 2

Section 3

Sessions You Are Interested In

Main Session Model

Monday to Friday, 8:00am to 4:30pm

Optional Wraparound Care

Until 5:00pmUntil 5:30pm

Breakfast Provision

Interested in breakfast provision from 8:00am to 9:00am

Funded-Only Place

15-hour funded-only place30-hour funded-only placeMore information about funded options

Funded-only places are very limited and prioritised for children aged 3 to 4 years. Please register your interest early.

Section 4

Funding Information

Do you think your child may be eligible for funded childcare?

yes no unsure

Section 5

Additional Information About Your Child

Does your child have any medical needs, allergies, dietary requirements, SEND needs or anything else you'd like us to know?

No Yes

Section 6

Family / Sibling Information

Does your child have a sibling currently or previously attending Grangehurst School?

Yes No

Section 7

Keeping in Touch

I would like to receive updates about places, admissions, fees, funding and opening arrangements for Golden Roots Preschool.

Preferred contact method

phone email either

Section 8

Parent / Carer Declaration

By submitting this form, I understand it is an expression of interest only and does not confirm a place. If a place is available, I may be asked to complete a full admissions form.

Parent / Carer name*

Signature*

Type your full name as your signature

Date*

Strong roots for bright futures.

Contact

07425 508363 goldenrootsearlyyears@outlook.com

Golden Roots Preschool at Grangehurst @goldenrootspreschool