To be used to apply for a place at the Melcombe Nursery.

Let us know if you qualify for the 30-hours offer
From 1 September 2017, your child may qualify for an additional 15 hours of free childcare under a new scheme giving you a total of 30 hours per week. The extended entitlement is intended to support working parents with the costs of childcare and enable them , where they wish, to return to work or to work additional hours.

Who is eligible?
Parents of three and four year olds will need to meet the following criteria in order to be eligible for 30 hours' free childcare:
  • They earn or expect to earn the equivalent to 16 hours of National  Minimum or Living Wage over the coming three months.
  • This equates to £120 a week (or £6000 a year) for each parent over 25 years old or £112.80 a week (or £5800 a year) for each parent between 21 and 24 years old.
  • This applies whether you are in paid employment, self-employed or on zero hours' contract.
  • The parent (and their partner where applicable) should be seeking the free childcare to enable them to work.
  • Where one or both parents are on maternity, paternity, shared parental or adoption leave, or if they are on statutory sick leave.
  • Where one parent meets the income and the other is unable to work because they are disabled, have caring responsibilities or have been assessed as having limited capability to work.
  • Where a parent is in a 'start-up period' (i.e. they are newly self-employed) they do not need to demonstrate that they meet the income criteria for 12 months.
  • If a non-EEA national, the parent must have recourse to public fund.

* 1. Child's Names

* 2. Child's Date of Birth


* 3. Home address:

* 4. E Mail Address:

* 5. Telephone Numbers:

* 6. Mother's Details:

* 7. Father's Details:

* 8. Name of Legal Guardian (if not parent):

* 9. Ethnic Group:

* 10. Do you have any other children at Melcombe Primary? If so, please state their name and class.

* 11. Does your child have special needs?

* 12. Are you entitled to the 30-hours offer?

* 13. Are you looking for:

* 14. When do you want to start?

* 15. Other Nurseries attended or applied for:

* 16. I give permission for these details to be shared with Melcombe Children's Centre and the Hammersmith & Fulham Children's Centres.