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NURSERY APPLICATION FORM

Thank you for your interest in our Nursery. Please complete this form to apply for a place. Please note that completion of this form does not guarantee or secure a place. If you have any queries about your child joining the Nursery, our Attendance & Admissions Officer, Mrs Collins, would be happy to help. Please contact her on 01582 611035, or email her directly at: admissions@stopsley.primaryluton.co.uk

CHILD'S INFORMATION

FURTHER INFORMATION ABOUT YOUR CHILD

Does your child have an Education Health Care Plan?*
Is your child currently “looked after” by a local authority?*
Was your child previously “looked after” but immediately after being “looked after” became subject to an adoption, child arrangements or special guardianship order?*
Do you already have a child/children currently attending Stopsley Community Primary School & Nursery?*
Does your child have a medical condition or allergy?*
Does your child have any special dietary requirements?*

INFORMATION ABOUT THE PARENT/CARER COMPLETING THIS APPLICATION

Do you have Parental Responsibility for this child?*

PREFERRED SESSIONS

Monday
Tuesday:
Wednesday:
Thursday:
Friday:
Are you eligible for 30 hours free funding?*

I certify that all the information I have given on this form is correct. I understand that any false or deliberately misleading information given on this form may render this application invalid.

I agree with the above statement*