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Your Details

Address

Flintshire Early Entitlement Funding Application

Parent's / Guardian's Date of birth (dd/mm/yyyy):

Parent's / Guardian's NI Number:

Details of the Child

Child's Surname:

Child's Forename(s):

Child's Chosen Name:

Date of birth (dd/mm/yyyy):

Is the child:

Male Female

Is the child's permanent home address different from yours?

Yes No

Child's permanent home address:

Child's address

Childcare Provider Details

Please approach one Early Entitlement provider from the list below and agree the arrangements of hours and days of provision with them. Without this information you will not be able to complete the registration form.

If a childcare provider is not listed then it's likely that they are not registered to deliver funded Early Entitlement education. If you have a child eligible for Early Entitlement but been unable to find an education place for them in a particular area within Flintshire please contact the Early Years Support Team on 01352 703930.

Setting your child will be attending

For the avoidance of doubt, Flintshire County Council does not endorse or recommend any particular setting and the obligation is on the parent / carer to ensure that the setting they select is suitable for provision.

Please share any relevant information about your child with your Early Entitlement setting who will follow its own and the Local Authority’s processes for supporting your child’s needs.

Please confirm the number of hours of Early Entitlement Education you have been offered by your provider.

Please confirm the number of Early Entitlement Education hours you have chosen to take up for your child.

It is important to state any special circumstances (medical, family, social) in connection with this application. Please do so in the space below.

Please upload a copy of your child's birth certificate below. If you are unable to upload it please either email it to eefundingapplications@flintshire.gov.uk or post it to the Early Entitlement team Westwood Centre, Tabernacle Street, Buckley. CH7 2JT.

Attachments

If applicable, please provide the name(s) of any Early Entitlement Provider(s) you approached who was unable to provide your child with the early entitlement hours you requested.

Parent's name

By submitting this application form I give permission for the provider to seek professional advice from the Early Entitlement Team, should it be required, about best meeting the needs of my child. I know that any specific action will not be undertaken without further discussion with and consent from myself as the parent/guardian.

Yes

I have read and understand the privacy notice at the top of this form and certify that this is the only setting for which I am applying for funding.

Yes

This application is for the Early Entitlement (FPN1) EDUCATION HOURS ONLY - to see if you are eligible for or to apply for the Childcare Offer see the Childcare Offer in Wales page: https://www.flintshire.gov.uk/en/Resident/Schools/childcare-offer.aspx

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Flintshire Early Entitlement Funding Application

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Your Details

Address

Flintshire Early Entitlement Funding Application

Details of the Child

Child's permanent home address:

Childcare Provider Details

Attachments