Nursery Application Form
We are delighted that you are applying for a place at our Nursery here at Lemington Riverside Primary School. We are proud to offer 30 hour, fully-funded places for all children who attend our Nursery. Children can attend our Nursery after their 3rd birthday and places will be allocated by the Head Teacher depending on the number of places that are available.

Please complete this form as fully as you can, and we will be in contact with you when we have a place available for your child to start with us.

If you would like a tour of our Nursery before you apply, we would love to show you around - give us a call on 0191 267 4315 or email admin@lemingtonriverside.newcastle.sch.uk 

Take care,

Craig Heeley (Head Teacher)
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Your child's first name *
Your child's surname *
Middle names?
Your child's date of birth *
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Your home address *
Do you have any other children currently at our school? If so, what are their names?
Parent/Carer Name 1 *
Title *
Your address (Only if different to your child's)
Parent date of birth *
MM
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DD
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YYYY
Parent National Insurance Number *
Mobile Number *
Home Number (if you have one)
Work number (if you have one)
Parent/Carer 2 Name (Leave blank if only one parent/carer)
Title
Clear selection
Your address (Only if different to your child's)
Mobile Number
Home number (If you have one)
Please name any other people we can contact in an emergency and their contact number:
Do you wish your child to have a: *
Does your child have any special dietary requirements/allergies that we need to be aware of?
Which Doctor's surgery is your child registered with? *
Doctor's surgery phone number *
Does your child have any medical conditions that we need to be aware of?
I give my consent to the seeking of any necessary EMERGENCY medical advice or treatment for my child. *
Name of your child's Health Visitor (if you have one)
Name of your child's Social Worker (if you have one)
Names of any other professionals working with your family (if applicable)
Is your child currently attending another pre-school or registered childcare provision? If so, which one?
Your Child's Nationality *
Your Child's First Language *
Your child's ethnic origin *
Your child's religion *
I give my consent for the school to carry out a check to see if my child is entitled to Early Years Pupil Premium Funding (additional funding).  *
Any other information we may need to know about your child?
E-SIGNATURE: By clicking this box I confirm that I am the legal parent/guardian of the child named on this form. *
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