Homerswood Primary School Nursery Application
Please use this form to apply for a place in the Homerswood Nursery from September 2024
Email *
Child's first name *
Child's surname *
Child's date of birth *
Male/Female *
Child's NHS number *
Full home address including POSTCODE *
Please indicate the days you want your child to attend. Homerswood nursery is open Monday to Friday 0845 to 1145 *
Required
1st Contact Name, telephone & email *
Relationship to child *
Relationship to child (other)
2nd Contact Name, telephone & email *
Relationship to child *
Relationship to child (other)
Special Education Needs. Does your child have an EHCP? If so, please provide written evidence with this form. *
Special Education Needs
At Risk. Is your child, or a sibling of your child, subject to an inter-agency child protection plan/has been placed on the Child Protection Register? If so, please provide written evidence with this form *
Children in Public Care. Is your child looked after, or was previously looked after and is now adopted, or a child with special guardianship? If so, please provide written evidence with this form *
Social or Medical reasons.  Do you have a particular medical or social need to attend this Nursery. If so, please provide written evidence with this form. *
Please provide details of any other early years setting your child has attended. *
If you have other children at Homerswood School please enter their name(s) here
Date and name of parent completing this form *
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