Fill out and submit the application form below!
Your Name (required)
Please confirm you are over 18 (required)
Please confirm you can speak English (required)
Your Date of Birth
Phone Number (required)
Address Line 1
Address Line 2
Please make a note of any other languages you speak
Child's Name (required)
Number of Children of Each Age (please enter appropriate value)
1 year and under
Please choose your Children's Centre (required)
Select from drop-down menuMulgrave Children's CentreEglinton Children's CentrePound Park Children's CentreCardwell Children's Centre
Relationship to Child
Would care be needed during training hours?
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