Nursery Application Form - September 2023 Intake
In order to be considered in the initial allocation of Nursery places this form should be submitted by 28th February 2023.
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Email *
Child's First Name *
Child's Surname *
Child's date of birth *
MM
/
DD
/
YYYY
Gender *
Child's home address (this must be the child's normal place of residence and not a relative or carers address) *
Is the child in the care of a local authority? *
If no, has the child previously been in care and did they leave care through adoption, a child arrangements order or special guardianship order?   *
If you have answered yes to either of these questions, please state the name of the local authority and provide evidence with your form.
Will the child have a sibling attending the nursery or the main school at the time of admission? *
If yes, please confirm the name and date of birth the sibling.
Do you have a preference? *
We are able to offer extended care - please tick the times to express and interest. *
Required
Does the child have a social or medical need for a place at this nursery? * *
If Yes, please provide details below.
Does the child attend another childcare setting? *
If yes, please state:
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Please state number of hours at setting.
If at a nursery, please state address.
Parent/Guardian/Carer Name. *
Address if different from the child.
Home contact number.
Mobile contact number. *
Email address. *
Do you have parental responsibility for the child? *
Relationship to child *
If other relative or contact please state below.
Declaration:  I wish to apply for a place at the Sandcross Nursery School. I certify that I am the person with parental responsibility for the child named in Section 1 and that the information given is true to the best of my knowledge and belief. I understand that if I give any false or deliberately misleading information on this form and/or supporting documents, or withhold any relevant information, this may lead to the offer of a nursery place for my child. I understand that it is my responsibility to provide full information to the nursery and that I will notify them of any changes to the details on this form or accompanying evidence as soon as they occur, including any change of address. *
Required
A copy of your responses will be emailed to the address you provided.
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