• Nursery Application Form

    Nursery Application Form

  • 1. Parental Responsibility

  • 2. Parental Responsibility

  • Time Preference

  • NOTE:

    • Parent/Carer will need to apply for the 30-hour funding code for the full-time place - please see attached letter.
    • Please Note – the late pick-up is chargeable at £10 per child.

    Parent/Carer requiring the 30 hour Government funding place, please provide the following details below. If you are accepted, it is your responsibility to inform the school office.
    Email the 30-hour code to admin@adamsrill.lewisham.sch.uk

  • Parent Declaration for the Free Entitlement

  • You need to agree and complete this parent declaration with each childcare provider your child attends for their Early Entitlemetn per week, to ensure each chidlcare provider is paid correctly. 

    If your child attends more than one setting the funding will be split as indicated below. 

    Please note that children are eligible to Early Entitlements the term after their 3rd birthday.

     Setting & Attendance Details:

    • Parent/carers need to agree and complete this Declaration Form with each setting your child attends for their early education entitlement of 15 universal hours or 30 hours (extended) per week in order to ensure that funding is paid accurately. please indicate which set of hours is being taken at which setting. 
    • for funded hours a child can attend a maximum of two sites in a single day if a child attends more than one setting the funding will be split between settings. 
    • I understand that ALL early learning entitlement must be free at the point of delivery and that I can not be charged for this in advance. 
    • I have received detailed information from the provider named above, I have been advised of any additional services available for my child and understand I will have to pay for these services. 
    • I understand that if my child leaves the setting without completing the stated notice period, the London Borough of Lewisham will NOT be liable for any charges incurred.   
  • Additional parent's details for children claiming 30 hours free childcare / EYPP.

    Extended 30 Hours: In order to claim 30 hours (extended) hours, there is a eligibility criteria. HMRC registration code is required to proceed, please click HERE to apply for it if you don't have it already. 

    Early Year Pupil Premium Funding: We would like to collect information about you and your child.  This will help us to provide the best education and support for your child by making sure that if your child is eligible for the Early Years Pupil Premium (EYPP) that we receive this funding. Please note that completion of this section for EYPP is voluntary and non-completion will not affect your child’s place at this childcare provision.

    The information you provide in this form will be used by the Council to confirm receipt of one of the listed eligibility criteria.  The Council will do this by checking the information you have provided against the work benefit data provided by HMRC and DWP.  We would like your consent to request the Council to make this check.

    The Council will then confirm whether your child is eligible for the EYPP (but will not notify us of any benefits you are receiving). You are free to withdraw your consent so that your details are not used in future.  Whether you provide your details or not will not affect any of the welfare benefits you may be entitled to. The data you provide may also be used to ensure accuracy of records across the local authority and to prevent fraud.

    The information I have given on this form is complete and accurate. I understand that my personal information is held securely and will be used only for local authority purposes. I agree to the local authority using this information to enable my childcare provider to claim the early year’s pupil premium for my child.

    Some students are also eligible for early year pupil premium funding, for more information please visit Gov.UK

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    • OFFICE USE ONLY 
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    • OFFICE USE ONLY 

    • Parent's Declaration for Early Entitlement:

      • I understand that ALL early entitlement must be free at the point of delivery and that I cannot be charged for this in advance
      • For funded hours a child can attend a maximum of two sites in a single day if a child attends more than one setting the funding will be split between settings.
      • I understand that I may be asked to pay a deposit to secure my child’s funded place, but this must be returned within a reasonable amount of time
      • I have received detailed information from the provider named above, I have been advised of any additional services available for my child and understand I will have to pay for these services.
      • I understand that if my child is eligible for the expanded/extended entitlement that it is my responsibility to recheck the eligibility every 3 months
      • I understand that if I am unable to demonstrate that I applied for an eligibility code / reconfirmed by a specific date, I will not be able to claim for the extended/expanded entitlement until the following term and will need to pay for my child’s hours.
      • I can confirm that this information is submitted for Autum, Spring and Summer terms. 
      • I understand that funded overs delivered by Adamsrill Primary School Nursery is for 38 weeks term time only. 

       

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  • Additional needs for your child

  • Photography at Adamsrill – Expression of Parental Preferences

  • School may use student's pictures and videos for the school's website, social media, and printed media for school-related marketing, but we do not advertise any picture/video of children without parental approval. Therefore, we would be grateful if you would complete this form to provide your consent.

  • Please note, you may opt-out/opt-in anytime by sending us an email to admin@adamsrill.lewisham.sch.uk and we will update your records immediately. 

    Also, you can review your consent on our Scholarpack App (Management information system) and can change it by simply pressing the YES or NO option, the system will notify us immediately. Please, contact our admin office at admin@adamsrill.lewisham.sch.uk or phone us on 0208 699 8548 for more information. 

  • School's Official Social Media Accounts: 

    Adamsrill Primary School has the following official social media accounts

      

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  • Application Declaration:

    I understand that:

    • Adamsrill Nursery offers places to children aged 3&4 years who are fully toilet trained
    • Before a child can begin attending Nursery, the school requires (child’s full Birth Certificate/proof of address - Current Council Tax Statement) send with this application form.
    • There is no automatic right of transfer to the Reception Class at Adamsrill Primary School. Reception places must be applied for via the Lewisham Admissions Procedure.

  • Please upload Child's Full Birth Certificate and Two Proof of Address - Current Council Tax Statement / Utility Bill

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