Please complete this form to send us an email.

Please complete the form below if you would like to put your child's name on the waiting list. You will be contacted by the relevant Manager to arrange a visit to Bright Sparks.

Please state if you would like your child to join:


Bright Sparks at King George                Bright Sparks at West Horndon  



Child's Name:

Date of Birth:
Parent/Guardian's Name:
Home Address:
Contact Number:
Enter the code below in here: