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Abel Smith Nursery Application - September 2021 intake
Please complete and submit the form as soon as possible.
* Indicates required question
Email
*
Your email
Child's first name (As on birth certificate)
*
Your answer
Child's middle name (As on birth certificate)
Your answer
Child's surname (As on birth certificate)
*
Your answer
Child's date of birth
MM
/
DD
/
YYYY
Child's gender
*
Female
Male
Child's ethnic group
*
White - English, Welsh, Scottish, Northern Irish or British
White - Irish
White - Gypsy or Irish Traveller
White - Any other White background
Mixed or Multiple ethnic groups - White & Black Caribbean
Mixed or Multiple ethnic groups - White & Black African
Mixed or Multiple ethnic groups - White & Asian
Mixed or Multiple ethnic groups - Any other Mixed or Multiple ethnic background
Asian or Asian British - Indian
Asian or Asian British - Pakistani
Asian or Asian British - Bangladeshi
Asian or Asian British - Chinese
Asian or Asian British - Any other Asian background
Black, African, Caribbean or Black British - African
Black, African, Caribbean or Black British - Caribbean
Black, African, Caribbean or Black British - Any other Black, African or Caribbean background
Other ethnic group - Arab
Other ethnic group - Any other ethnic group
Child's first language
Your answer
Language spoken at home
*
Your answer
Child's nationality
*
Your answer
Child's country of birth
*
Your answer
Child's National Health Number (NHS number). This number starts with a 6 or 7
*
Your answer
Your relationship to the child
*
Mother
Father
Carer
Step Mother
Step Father
Social Worker
Option 7
Other:
Child's permanent address
*
Your answer
Does your child have special educational needs or disabilities (SEND)?
*
Educational Health Care Plan (EHCP)
SEND Support
Disability Living Allowance
Other
None
Is your child or a sibling of your child, subject to an inter-agency child protection plan and placed on a child protection register?
*
Yes
No
Is your child looked after, or was looked after and is now adopted, or with a child arrangement or special guardianship order?
*
Child adopted
Child looked after (i.e. in Foster care)
Special Guardianship order
None of the above
Does your child have a particular medical or social need to go to this school? We will contact you for evidence to support this need.
*
Yes (We will contact you to provide clarification and further evidence of this need)
No
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