Application Form

Thank you for your interest in Moulton Preschool. Please fill in the application form below. We will be happy to speak to you regarding any queries you may have otherwise we will be in touch with you the term before your chosen start date entered at the top of the form to arrange visits.

In addition to the form below, we have a downloadable form on our website, click here to download it. Please return to: Moulton Preschool, by post to: 5 Regent Street, Moulton, Northwich, Cheshire, CW9 8NX or by hand to: Back Room, St Stephens Church Hall, Main Road, Moulton, Northwich, Cheshire, CW9 8PB.


About Your Child

About You

Name of Mother and Father (include surnames if different from child)