Highwood Primary School

Highwood Primary School

Nursery Application Form
Child's Name*

First NameMiddle NameLast Name
Child's Gender:*

MaleFemale
Child's Date of Birth *

DayMonthYear
Child's NHS Number (this is 10 digits long)*
You can obtain this by contacting your GP surgery if you do not know the number
Child's Permanent Address*

Address Line 1

Address Line 2

Town

Postcode
Special Educational Needs - Does your child have a Statement of Special Educational Needs or Educational Health and Care Plan (EHCP)?*

YesNo
Children in Public Care - Is your child looked after, or was previously looked after and is now adopted, or is a child with arrangements or special guardianship order? *

YesNo
At risk - Is your child, or a sibling of your child, subject of an inter-agency child protection plan and has been placed on the Child Protection Register? *

YesNo
Social or medical - Does your child have a particular medical or social need to go to this school? *

YesNo
If you have answered yes to any of the above questions we will contact you for more information.
If your child has a sibling at Highwood, please enter their name and year group:
I would like my child to attend:*

30 hours Funded - Monday to Friday 8:45am - 3:15pm - I understand there is a £3 lunch supervision charge per day30 hours private - Monday to Friday 8:45am- 3:15pm - I understand the charge for this is £21 per sessionAM only - Monday to Friday 8:45 - 11:45amPM only - Monday to Friday 12:15 - 3:15pm
To check your eligibility for a 30 hour place, please see the link to the government website provided on the Highwood Nursery admissions page.

Please note it is the responsibility of parents to check their eligibility
You must ensure you apply for your 30 hour code by 31 August 2025 for your child to be eligible to start in September and receive full funding.
Parent/Carer Name*

PrefixFirst NameLast Name
Parent/Carer 1 National Insurance no: *
Parent/Carer 1 Date of birth*

DayMonthYear
Is your address the same as your child's?*

YesNo - please complete address below
Parent/Carer Permanent Address*

Address Line 1

Address Line 2

Town

Postcode
Mobile phone number*
Please enter a valid phone number.
Parent/Carer 1 email address*
I have read and agree with the nursery's Data Protection policy detailed below*

YesNo
Data Protection Policy

Any personal data collected will be treated as confidential under the principles of the Data Protection Act 2018. We will not use the data for any other purpose, nor will we share your data with any third parties other than the Department for Education (for statutory reporting), Hertfordshire County Council departments who may from time to time send you advice, guidance and information relating to changes to early years provision and educational services that are relevant and/or of benefit to your child, and your local children’s centre who support the local authority by assisting families to access the services that children are entitled to.
I confirm that the information I have given on this form is complete and accurate to the best of my knowledge.
Signature*

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Date*

DayMonthYear
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Highwood Primary School

If you have answered yes to any of the above questions we will contact you for more information.

To check your eligibility for a 30 hour place, please see the link to the government website provided on the Highwood Nursery admissions page.

You must ensure you apply for your 30 hour code by 31 August 2025 for your child to be eligible to start in September and receive full funding.

I confirm that the information I have given on this form is complete and accurate to the best of my knowledge.