2022 NURSERY CONTACTS
New Reception Data Information
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Email *
Child's Legal Surname *
Child's Preferred Surname
Child's First Name *
Child's Preferred First Name
Child's Middle Names
Child's Date of Birth (dd/mm/yyyy) *
MM
/
DD
/
YYYY
Child's Gender *
Postcode *
Full Home Address *
Parent 1 - Full Name *
Parent 2 - Full Name *
Parent 1 - Mobile Number *
Parent 2 - Mobile Number *
Parent 1 - Email address *
Parent 2 - Email address *
What is the best email address to contact you on as a family? *
Parent 1 - Occupation *
Parent 2 - Occupation *
Other Contact Name *
Other contact telephone number *
Other contact relationship to child *
Any special dietary needs (e.g. vegetarian, halal, no pork, gluten free, dairy free...) *
Any medical conditions/allergies *
Other medical notes (e.g. speech therapy, grommets) *
GP Surgery *
Child's Ethnicity *
Child's National Identity *
Traveller *
Home Language *
First Language *
Country of Birth *
Religion *
Previous Playgroup *
Mode of Transport to School *
Names and dates of birth of any siblings *
What is the name of your child's current pre-school setting, if they attend one? (Please put no setting if your child does not attend) *
What days does your child attend this pre-school setting? *
Required
Will you require printed copies of the starting school documents that we need to share with you? *
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