West Drayton 2 Year Old Funding Form
A form has to be completed by the parent / carer for every child who will be funded by the Free Entitlement scheme to access their free early education entitlement. Please complete this form accurately and legibly, answering every question. Failure to answer a question or a form that is inaccurate or illegible could mean that your child will not receive funding.
Please enable JavaScript in your browser to complete this form.

Child Details

Gender
Ethnicity

Parent Details

Details of Pre School Place

Special Educational Need provision (please tick the correct choice):
Of Address

Free entitlement information

Is this child also attending another early years education provider (e.g. school nursery, full day nursery or playgroup, nursery class in an Independent school?
Parent / Carer declaration: By signing this form, I have read, understood and accept that the data I provide will be used in accordance with the “Privacy Notice” document given to me by the setting.
Clear Signature

In addition, I have also agree that the information I have provided can be shared with the local authority and the Department for Education, who will access information from other government departments to confirm my child’s eligibility and enable this early years setting to claim Early Years Pupil Premium (EYPP)

Clear Signature

Data Privacy

Data Protection legislation puts in place certain safeguards regarding the use of personal data by organisations including the Department for Education, local authorities and schools. It gives rights to those (known as data subjects) about whom data is held (such as pupils, their parents and teachers). This includes:

● The right to know the types of data being held
● Why it is being held, and
● To whom it may be communicated

Prior to signing this declaration form to claim free entitlement funding, your early years setting should provide you with a copy of a “Privacy Notice” so you know in advance how the personal data you provide may be used.

Ruislip
120 Elliott Ave
HA4 9LZ

07872 066 875
020 8866 8766
ruislip@smartysnursery.com

Hayes
Kingshill Ave
UB4 8DD

07885 972 154
thecabins@smartysnursery.com

West Drayton
Meadows Community Centre
90 Wise Lane
UB7 7EX

07872 067 182
wd@smartysnursery.com

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