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Apply for free early learning for 2 year olds

Child's details


Select any of the following that apply to the child

Tick all boxes that apply

Current childcare provision

Address of current childcare provider

Further information

Applicant details

Do you have parental responsibility for this child?

Referrer details

General Data Protection Regulations

In order for the Early Education and Childcare team to process your application and allocate a childcare place, we will store your personal information securely in accordance to the General Data Protection Regulations.

We may need to share your information with:

  • our early year’s childcare providers
  • health providers
  • children’s centres
  • job centre plus

By clicking the submit button, you agree to the information you provide on this form being processed in line with our data protection policy.