Nursery Application for Waiting List
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Child's Name *
Date of birth *
MM
/
DD
/
YYYY
Address *
Post Code *
Home adult name (1) *
Home adult (1) relationship to child *
Home adult name (2)
 *
Home adult (2) relationship to child
 *
Home Adult Contact telephone numbers *
Email address *
Preference for AM or PM Nursery 
 *
Your child can start Nursery the term AFTER they turn 3. 
Birthdays from April - August start Nursery in September.
Birthdays from September - December can start Nursery in January.
Birthdays from January - Easter start in the Summer Term mid/late April. Please specify when you would like your child to start? 
 *
Home Language(s) / Languages spoken - this is so we can support your family and child with communication.  *
Does your child have any special needs or disabilities that we can support them with?  *
If yes, please describe their needs/disability. 
Does your child have any siblings?  *
Do you have any questions for us? Or is there any other information that you think we need to know?  *
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