Nursery Application Form
Pupil Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date
Gender
Male
Female
Other
Pupil Home Address
*
Street Address
Street Address Line 2
Town/ City
State / Province
Post Code
Parent/ Carer 1 Name
*
First Name
Last Name
Relationship to Child
*
Parent/Carer 1 Date of Birth
*
-
Day
-
Month
Year
Date
National Insurance Number
*
Parent/Carer 1 Home Address
*
Street Address
Street Address Line 2
Town/ City
State / Province
Post Code
Email Address
*
example@example.com
Contact Number
*
Please enter a valid phone number.
Alternative Contact Number (if applicable)
Please enter a valid phone number.
Previous/Current Nursery Name (if applicable)
School/Nursery Address
Start Date
Leaving Date
Reason for Leaving
Do you have any other children currently attending Whingate? If so, please provide their names below:
We offer both 15 hour and 30 hour places in our Nursery. Please indicate below which setting you would prefer for your child to attend:
Mornings (8.45am - 11.45am)
Afternoons (12.15pm - 3.00pm)
2.5 days (Monday - Wednesday AM)
2.5 Days (Wednesday PM - Friday)
30 Hours (Monday - Friday)
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EAL Language Monitoring Form
Please provide us with further information about your child, by giving us details of the below:
Language Spoken At Home:
*
Is this their first experience of school in the UK?
What is their understanding of English?
*
Please explain if they can understand simple instructions
What is their spoken English like? Can they communicate basic needs?
*
Any Other Information about your child's needs that you feel we should be aware of?
*
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Parent/Carer Name
*
Date
*
Submit
Should be Empty: