JAGONARI CENTRE

List Form copy
  1. JAGONARI CENTRE

    Childcare services available for children aged 2-5 years of age (15 hours a week of free quality childcare)
    If you are applying for a 2 year old child - click here for more information


    The Learning 2 programme is only available to children and families that are getting one of the following:

    • Income support
    • Income-based jobseeker's allowance (JSA)
    • Income-related employment and support allowance (ESA)
    • Support through part six of the immigration and asuylum act
    • The guaranteed element of state pension credit
    • Child tax credit and have an annual income not over £16,190
    • The working tax credit four-week run on (The payment you get when you stop qualifying for working tax credit)
    • You get working tax credits and earn no more than £16,190 a year.

    A child is also eligible if any of the following apply:

    • They have a current statement of special educational needs (SEN) or an education, health and care plan
    • They get a Disability living allowance
    • They've left care through special guardship or an adoption or residence order
    • They are looked after by local authority

    Sessions Days & Times FEES can be obtained by contacting us



  2. Invalid Input
  3. Child's Name*
    Invalid Input
  4. Parent's Name(s)*
    Invalid Input
  5. Gender*
    Invalid Input
  6. Child Date of Birth*
    Invalid Input
  7. Telephone Number
    Invalid Input
  8. Mobile Phone Number
    Invalid Input
  9. Email*
    Invalid Input
  10. Ethnicity
    Invalid Input
  11. Address*
    Invalid Input
  12. Languages Spoken/Understood by Child
    Invalid Input
  13. Does your child attend any other sessions/playgroups? if so, Where?
    Invalid Input
  14. What does your child do at home and how do you help their development?
    Invalid Input
  15. Does your child have any siblings who attended Rainbow? If so, Who?
    Invalid Input
  16. Does your child have any health conditions that we need to know about?
    Invalid Input
  17. How did you hear about us?
    Invalid Input
  18. I declare that any information that I have given is correct and I will inform you of any changes. I am interested in sending the named child to Rainbow House. When I am invited to attend the open day or when a place is offered I will respond as requested.

  19. Tick box if you agree
    Invalid Input
  20. Security Captcha*
    Security Captcha Invalid Input