Registration Deposit Request Form

Please complete this survey so that we can process the refund of your registration deposit, 12 weeks after your child’s start date.

Nursery your child attends(Required)

Name of child(Required)

Name of parent(Required)

Name of bill payer(Required)

Child's start date(Required)

Today's date(Required)

Bank account holder name(Required)

Bank account number(Required)

Sort code(Required)

Bank holder address(Required)

Address line 1

Address line 2

City

County

Post Code

Country

I understand the registration deposit will be refunded via the same method in which it was paid, 12 weeks after the child’s start date.