Nursery Application Form

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To apply for a place at our school., please complete the e-form in full below. If you have any questions regarding this online application, please feel free to contact us by phone and we will be more than happy to walk you through this application.

Child's Details:

Childs Name (required):
Child's age (required):
Date of birth (required):
Gender (required):

Dietary Requirements (if any):
Alergies (if any):
Name of previous Nursery (if any):
Medical/Social needs (if any):

1st Parents Details:

Parents Name (required):
Date of birth (required):
Gender (required):
Parents Address (required):

Your Email (required):
Tel No. (required):
Relationship to child:
NI No.:
Employment Status:
Income Support? (Y/N):
Any other benefits? (describe here or just add None):

2nd Parents Details:

Parents Name:
Date of birth:
Gender:
Parents Address:

Your Email:
Tel No.:
Relationship to child:
NI No.:
Employment Status:
Income Support? (Y/N):
Any other benefits? (describe here or just add None):

Language/Religious Details:

Childs 1st Language:
1st Parents 1st Language:
2nd Parents 1st Language:
Main language spoken at home:
Religion (if any):

Any other Information:

Anything else you would like to tell us?:

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