Nursery - Registration of Interest Form

Registration of Interest for Nursery

Children can only start nursery on or after their third birthday and according to availability of spaces at the time
Name*

First NameMiddle nameLast Name
Gender*

MaleFemale
Birth Date*

DayMonthYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postcode
Name of current/last nursery (if applicable)?
Nursery Session applying for?*

AMPMFull time
Do you have any other children attending John Ruskin School?*

YesNo
If yes, other child(ren)'s name(s) and relationship
Does your child have any medical needs?*

YesNo
If yes, provide details below
Does your child have a special educational need?*

YesNo
If yes, provide details below, e.g. Speech and Language, ASD or other SEN
Parent/Carer name*

First NameLast Name
Phone Number*
E-mail Address*
Under data protection law, individuals have a right to be informed about how the school uses any personal data that we hold about them. We comply with this right by providing ‘privacy notices’ to individuals where we are processing their personal data. Our privacy notices are available on our website www.johnruskin.southwark.sch.uk or via the school office.
Should be Empty:

Registration of Interest for Nursery