Springwell Park Nursery

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Springwell Park Nursery

APPLICATION FOR ADMISSION TO NURSERY

Name of child (Full name)
*

Child's Date of Birth*
*

YYYY

Gender*
*

Male

Female

Nationality*
*

Home address (inc. Post code)*
*

Home Telephone Number*
*

Parent 1 Full Name*
*

Parent 1 email address*
*

Parent 1 Mobile Number
*

Parent 2 Full Name
*

Parent 2 Mobile Number
*

Are all parents with parental responsibility named above?*
*

Yes

Name and DOB of siblings at Springwell Park*
*

Has your child attended any other Nursery?*
*

Has your child any specific educational needs?*
*

Yes

If so, please indicate the nature of additional needs.
*

Is your child involved with other agencies (eg Social care, Speech & Language etc)
*

Yes

If so, what agency has your child been referred to?

Your answer

Has your child any allergies, specific food requirements?
*

Yes

If so, please give allergy details.

Your answer

Does your child speak English as a second language?
*

Yes

If yes, what is your child's home language?
*

What session would you require?*

Please note with our 30 hour option an eligibility code is required and lunchtime supervision is charged at £10.50 per week.

Option 1 - 15 hours AM only (Monday - Friday)

Option 2 - 15 hours PM only (Monday - Friday)

Option 3 - 15 hours Beginning of the week (Monday to Wednesday)

Option 4 - 15 hours End of the week (Wednesday to Friday)

Option 5 - 30 hours* Monday to Friday (Eligibility code required & lunchtime supervision will be charged per term)

Other:

Required

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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