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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:



Does your child have an Education Health Care Plan?*
Has your child ever been identified as having Special Educational Needs or a disability?*
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 currently attend, or has previously attended another setting (i.e. Nursery or Pre-School)?*
Does your child have a medical condition or allergy?*
Does your child have any special dietary requirements?*


Do you have Parental Responsibility for this child?*

PREFERRED SESSIONS (families can choose five morning sessions or five afternoon sessions or five full days. Unfortunately, we are unable to accommodate any requests for unusual attendance patterns such as part weeks or odd days)

Monday (please select one option only):*
Tuesday (please select one option only):*
Wednesday (please select one option only):*
Thursday (please select one option only):*
Friday (please select one option only:*
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*