Free early education for 2 year olds

Your details

Initial Instruction

How we use your information

We collect and process your information in accordance with the Data Protection Act 1998. Your details will be used:
- to contact you
- to provide services for you and your family
- for the general planning of services
- to provide government statistics

It may also be used:

- to share with partner agencies working with Camden Integrated Early Years Service
- to ask you for general feedback on services for purposes of evaluation.

Protecting your information

We will keep your details on our server or on a database, where every reasonable care has been taken to ensure the security of your data. We also keep your information confidential (only authorised professionals will see your information). We cover the storage, access, disclosure and destruction of your information. We will only disclose your information as required by law.

I have read and understood the above statement
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Parent/Carer details

Child details

Gender
Choose an Option
Please select the category that best describes your ethnicity
Please select under which criteria you are applying
Please select which benefit you are receiving
If your immigration status says you have ‘no recourse to public funds’, you may still get free childcare for your 2-year-old. You must live in England and your household income must be no more than:
Please note: You cannot have more than £16,000 in savings or investments

Camden Sure Start status

Are you registered with a local Sure Start Children's Centre?
Register for Sure Start

You can register for Camden Sure Start and find out more about our services at Camden. gov.uk

Choose an Option

Parent/Carer declaration

Declaration

I agree that the London Borough of Camden may verify any of the information provided on this form. I declare that the details above are true and I understand that any false or incorrect information could lead to funding being withdrawn.

I agree to participate in the scheme, its evaluation and give my permission to share my data with all providers / agencies involved with the scheme.

Confirmation

Enter your email address if you would like to receive a copy of this form