Waiting List — Miss Amy's Daycare

Submit this form

Tell us about your child and what you need.

We review & confirm

We'll confirm receipt within 48 hours.

Space becomes available

We contact you as soon as a suitable space opens.

Book your visit

Come and meet Miss Amy before confirming your place.

Parent / Guardian details

First name *

Last name *

Relationship to child *

Occupation *

Phone number *

Email address *

Home postcode

Child's details

Child's first name *

Child's last name

Date of birth *

Gender

Care requirements

Type of care needed *

How many days per week? *

Which days would you need? (tick all that apply)

Desired start date *

Are you eligible for funded hours?

Health & additional needs

Does your child have any additional needs, diagnosis or EHCP?

Please provide brief details

Does your child have any allergies or medical conditions we should know about?

Any dietary requirements?

A little more

How did you hear about Miss Amy's Daycare?

Are you also interested in the future prep school?

Anything else you'd like us to know?

I confirm the information provided is accurate and I agree to my details being stored and used to contact me about childcare availability, in line with Miss Amy's Daycare's Privacy Policy. *

I'd like to receive occasional updates about new services, the prep school development and holiday club availability.

Your information is stored securely and never shared with third parties. Read our full GDPR policy.

Secure your child's place