Ashwell Primary School Nursery Admissions Form 2023-24

Ashwell Primary School
Nursery Application Form

Admissions 2023/24
For further information or any queries please email admin@ashwell.herts.sch.uk
Child's Details
Child's Name*

First Name Middle Name Family Name
Gender*

MaleFemale
Date of Birth*

DayMonth Year
NHS Number*
Your child's permanent address at time of application*

Street Address

Street Address Line 2

City State / Province

Postcode
Special Educational Needs*

YesNo
At Risk*

YesNo
Children Looked After*

YesNo
Social or Medical Reasons*

YesNo
If you have a sibling at this school, enter their name
Sibling's Name

First Name Last Name
Early years setting/s child attends or has attended (if applicable)
If you have any other requirements, please enter here:
Parent/Carer Information
Parent/Carer 1
Relationship to the Child*
eg Mother/Father/Carer/Stepmother/Father/Social Worker
Name*

Title First Name Last Name
Date of Birth*

DayMonth Year
NI Number*
Contact Number (mobile/house)*
Parent/carer address if different from above

Street Address

Street Address Line 2

City County

Postcode
E-mail*
Parent/Carer 2
Relationship to the Child
eg Mother/Father/Carer/Stepmother/Father/Social Worker
Name

Title First Name Last Name
Date of Birth

DayMonth Year
NI Number
Contact Number (mobile/house)
Parent/carer address if different from above

Street Address

Street Address Line 2

City County

Postcode
E-mail
In completing this application form you should refer to our Privacy Notice for Parents/Carers. The personal information collected on this form will be processed to manage your application in accordance with this policy. By ticking the box below you agree to us contacting you my email.
I have read and agree with the Privacy Notice for Parents/Carers*

YesNo
Declaration

The information I have given on this form is complete and accurate. I understand that my personal information will be held securely and will be used only for local authority purposes.

I agree to Ashwell Primary School using this information to consider my application for a nursery place. I understand that if any part of this completed application form is found false the offer of a place will be withdrawn.

I understand that the completion of an application form does not guarantee a place in the nursery class.

I understand that, if offered a place in the nursery class, I will have to apply separately for a place in reception.
I agree with the declarations above*

YesNo
Should be Empty:

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Ashwell Primary School

Nursery Application Form

Child's Details

Parent/Carer Information

Declaration