Springwell Park Two Year Room
APPLICATION FOR ADMISSION TO THE TWO YEAR ROOM
Term time only, places for two-year-olds who are eligible for two-year funding. Voucher is required.  
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Name of child (Full name)* *
Child's Date of Birth*
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Gender*
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Nationality*
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Home address (inc. Post code)*
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Home Telephone Number*
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Parent 1 Full Name*
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Parent 1 email address*
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Parent 1  Mobile Number
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Parent 2 Full Name
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Parent 2 email address
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Parent 2  Mobile Number

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Are all parents with parental responsibility named above?
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Name and DOB of siblings at Springwell Park
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Has your child any specific educational needs?*
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If so, please indicate the nature of additional needs.
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Is your child involved with other agencies (eg Social care, Speech & Language etc)
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If so, what agency has your child been referred to?
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Has your child any allergies, specific food requirements?
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If so, please give allergy details.
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Does your child speak English as a second language?*
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If yes, what is your child's home language?
What session would you require?

Term time only, places for two-year-olds who are eligible for two-year funding. Voucher is required.

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Please Note
PROOF OF ID WILL NEED TO BE SEEN BEFORE AN OFFER OF PLACE GIVEN
BY MAKING THIS APPLICATION I FULLY UNDERSTAND THAT IN ACCORDANCE WITH CURRENT GOVERNMENT LEGISLATION, IF MY CHILD CAN BE OFFERED A PLACE AT THE NURSERY, ATTENDANCE AT THE NURSERY DOES NOT GUARANTEE MY CHILD’S ADMISSION TO THE SCHOOL.
I UNDERSTAND THAT I HAVE TO APPLY SEPARATELY ON THE OFFICIAL SEFTON COUNCIL
ADMISSION TO PRIMARY SCHOOL FORM, AVAILABLE IN THE AUTUMN BEFORE MY CHILD IS DUE
TO START SCHO0L.
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