April 2026	

Early Education and Childcare Parent Agreement – Stretched Claims
☐  Parents: tick to confirm you have read the Parent Agreement Terms and Key Facts and the Privacy Notice You can request a copy from your provider.
 ☐ Parents: Tick if your child ‘stretched’ their entitlement at a previous provider (claimed funding during school holidays).
Provider name:	If your child attends other providers, please enter their names:	
		
Provider:   ☐ I have checked the Child’s original identification document (i.e. birth certificate) and kept a copy. The reference number is:
SECTION 1: Childs details
Legal forename	Middle name(s)	Legal surname	Preferred surname	

Address	Postcode 	

Date of birth	Gender 	Ethnicity	SEN Stage 	

If your child is in receipt of Disability Living Allowance (DLA) your provider can claim an annual payment to support your child’s early education. Information and the application form can be found at this link: Disability Access Funding Application  Ethnicity and SEN codes can be found at this link:  Ethnicity-SEN-codes
SECTION 2: Parent / guardian details
By providing your details in this section you are agreeing to Kirklees Council using your details to confirm eligibility for the Working Parent Entitlement, Early Learning for 2-year-olds and Early Years Pupil Premium (EYPP). The Council will notify the provider of the outcome.
Data Protection Statement: The Council will not use your details for any other purposes unless required to do so by law. If you require more details refer to the Privacy Notice or call: 01484 221000 [ask for free early education] or email: earlyeducation@kirklees.gov.uk 

Parents details	Parent/Guardian 1	Parent/Guardian 2 (optional)	
Forename			
Surname			
Date of birth (if consenting to an eligibility check for EYPP or FRAS)			
National Insurance/NASS Number	

Your child will also qualify for EYPP if they are looked after by the local authority or have left care via adoption, a Special Guardianship Order or a Child Arrangement Order. Please give your provider a copy of the order.

SECTION 3: Working Parent Entitlement for children aged nine months to two years old

HMRC 11 Digit Eligibility code	Terms	

Weekly Hours	Mon	Tue	Wed	Thu	Fri	Sat	Sun	Total	
Funded hours									
Non-funded hours (paid for)									
Total hours									

Signed by the Parent: ………………………………………………………………………………………..….Date: ………………………..

Signed by the Provider: ………………………………………………………………………………….…….. Date: ………………………

SECTION 4: Early Learning for 2-year-olds 
6-digit code issued by Kirklees Council required
6 Digit Eligibility code	Terms	

Weekly Hours	Mon	Tue	Wed	Thu	Fri	Sat	Sun	Total	
Funded hours									
Non-funded hours (paid for)									
Total hours									

Signed by the Parent: ………………………………………………………………………………………..….Date: ………………………

Signed by the Provider: ………………………………………………………………………………….…….. Date: …………………….
SECTION 5: Three- and four-year-old universal and working parent entitlement 
NOTE: NO CODE IS REQUIRED TO CLAIM UNIVERSAL HOURS
HMRC 11 Digit Eligibility code	Terms	

Weekly Hours	Mon	Tue	Wed	Thu	Fri	Sat	Sun	Total	
Universal funded hours									
Working Parent funded hours 									
Non-funded hours (paid for)									
Total hours									

Signed by the Parent: ………………………………………………………………………………………..….Date: ………………………

Signed by the Provider: ………………………………………………………………………………….…….. Date: …………
SECTION 6: Additional details for stretched claims
Important Notes: 
a)	If your child moves to a provider/school nursery place that does not offer stretching (e.g. less hours each week over more weeks in the year during the school holidays) your child will only be able to access their remaining entitlement for the rest of the financial year. 
b)	For all children moving into a full-time school reception place in the autumn term (usually the September following the child’s 4th birthday) the stretch hours will automatically be capped at 195/390 hours in the summer term.
c)	Providers can refer to the stretch example models for the relevant year when completing this section.

*Funded hours refer to the universal 15 hours for three- and four-year-olds and 15 hours for Early Learning for 2-year-olds
STRETCH YEAR 1
Term	Number of stretch weeks in term	Funded hours*	Working Parent funded hours	Total funded hours	
Summer					
Autumn					
Spring					
Total for the year 
(start of summer to end of spring term)					

Signed by the Parent: ……………………………………………………………………………………Date: ………………

Signed by the Provider: …………………………………………………………………………………Date: ………………
STRETCH YEAR 2 
Term	Number of stretch weeks in term	Funded hours*	Working Parent funded hours	Total funded hours	
Summer					
Autumn					
Spring					
Total for the year (start of summer to end of spring term)					

Signed by the Parent: ………………………………………………………………………………………Date: ……………

Signed by the Provider: …………………………………………………………………………………. Date: ……………
STRETCH YEAR 3 
Term	Number of stretch weeks in term	Funded hours*	Working Parent funded hours	Total funded hours	
Summer					
Autumn					
Spring					
Total for year (start of summer to end of spring term)					
Signed by the Parent: ………………………………………………………………………………………Date: ……………

Signed by the Provider: ……………………………………………………………………………………Date: ……………
STRETCH YEAR 4 
Term	Number of stretch weeks in term	Funded hours*	Working Parent funded hours	Total funded hours	
Summer					
Autumn					
Spring					
Total for year (start of summer to end of spring term)					

Signed by the Parent: ………………………………………………………………………………………Date: ……………

Signed by the Provider: …………………………………………………………………………………. Date: ……………
STRETCH YEAR 5 
Term	Number of stretch weeks in term	Funded hours*	Working Parent funded hours	Total funded hours	
Summer					
Autumn					
Spring					
Total for the year (start of summer to end of spring term)					

Signed by the Parent: ………………………………………………………………………………………Date: ……………

Signed by the Provider: ……………………………………………………………………………………Date: ……………