St Monica's Catholic Primary School       Pupil Admission Form - Nursery
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Child's Last name/Surname/Family name
Legal Last name of child
*
Child's First name
Legal First name of child, not shortened or familiar versions
*
Child's Preferred name or nickname
Child's Date of Birth
Please input in this format dd/mm/yyyy
*
Child's Age *
Child's Gender *
Child's Country of birth *
Date Child entered UK
If the child was born outside the UK, please provide the date they arrived here
Child's First Language
The language regularly spoken in the home, whether or not this child speaks or understands it.
*
Child's Home Address 
Please include full postcode
*
Family Situation *
Family members attending St Monica's
The names of this child's siblings attending St Monica's, including their year group.
Part Time or Full Time

*
15 Hours Nursery for 2 Year olds

Read Hackney Education's guidance on how to apply

Apply online via the Hackney Parent Portal providing your name, your national insurance number, date of birth, email address and other information

Please provide the code below

*
30 Hours free childcare - 3 and 4 Years old Only

For 30hrs full time places, you must apply for the government extended hours, even if you think you do not qualify. Please click on the following link:  https://www.gov.uk/apply-30-hours-free-childcare

If you do not have a code, you must send us proof of your application before we process your child's admission form. Email the confirmation to office@st-monicas.hackney.sch.uk.

Please provide 30 hour code below
*
Do you receive Disability Living Allowance (DLA) for this child? *
Is this child a traveller? *
Is this child a refugee? *
Is this child in care? *
Mode of Transport
How will the child get to school?
*
Religion *
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