Register for Childcare Southbourne | Green Roots Nursery & Pre-School

1Child details

2Required sessions

3Your details

4Payment

Parent/Guardian details

Your details including your email address are essential information, which we will only use to provide a childcare service to you. By providing us with these details you are giving Green Roots consent to hold and process your data and send you information. Please see our Policies and Privacy Notice for more information.
Title*
First name*
Surname*
Relationship to child*
Address*

Street Address

Address Line 2

Town/City

County

Postcode
Email address*
Home phone number*
Mobile number*
Parental responsibility*
Please tick the box to confirm you have parental responsibility for the child/children.*

We are only able to accept a booking from a person with parental responsibility for the child/children.
Please provide details of any special requirements or additional information here
How did you hear about Green Roots Nursery?*

Deposit, per family (Refundable)
Registration fee, per child (Non-refundable)
Total
£ 0.00
Your items
Credit Card*

Card Details

Cardholder Name
Read Terms and Conditions.*
Please tick to confirm that you have read Green Roots Nursery Terms and Conditions and that you agree to be bound by them*

Please retain a copy for your own records. Should any provision of these terms and conditions be found to be unlawful then that provision shall be removed but the agreement itself shall remain in full force and effect. Your statutory rights are not affected by these terms and conditions. Please see our Policies and Privacy Notice for information regarding the processing of your data.

Register your child