Nursery School Application Form

The Lea Primary School and Nursery
Nursery School Application Form

For pupils starting Nursery in the term after they are three from September 2026
For further information or any queries please email admin@lea-pri.herts.sch.uk
Child's Details
Child's Name*

First NameMiddle NameFamily Name
Date of Birth*

DayMonthYear
NHS Number*
Gender*

MaleFemale
Your child's permanent address at time of application*

Street Address

Street Address Line 2

CityState / Province

Postcode
Parent/Carer Information
Relationship to the Child*
eg Mother/Father/Carer/Stepmother/Father/Social Worker
Name*

TitleFirst NameLast Name
Date of Birth*

DayMonthYear
NI Number*
Parent/carer address if different from above

Street Address

Street Address Line 2

CityCounty

Postcode
E-mail*
Telephone*
Does your child have a sibling at the school?*

YesNo
Special Educational Needs*

YesNo
At Risk*

YesNo
Children Looked After*

YesNo
Social or Medical Reasons*

YesNo
Sessions
Will you be sharing childcare with another provider?*

YesNo
All Nursery pupils are entitled to 15 free hours (5 mornings), while some parents are entitled to 30 hours free nursery childcare (please visit www.childcarechoices.gov.uk to confirm your eligibility).

Our experienced Nursery teachers teach the Early Years curriculum over 5 mornings each week. In the afternoons, Noah's Ark operate from our premises offering activities and learning for an additional 15 hours each week. They also offer full wraparound care if needed for working parents.

If you are interested in afternoon nursery hours, you will need to apply to Noah's Ark via their website www.noahsarkharpenden.co.uk
Session eligibility *
Comments
I confirm that the details above are correct to the best of my knowledge*

YesNo
In completing this application form you should refer to our Parent Privacy Notice and Data Retention Policy. 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 Parent Privacy Policy*

YesNo
Should be Empty:

The Lea Primary School and Nursery

Nursery School Application Form

Child's Details

Parent/Carer Information

Sessions