Nursery Application Form 2024-2025

Please complete all fields marked (*)

Child's First Name *

Details of Child

Child's Middle Name *

Details of Child

Child's Last Name *

Details of Child

Child's Date of Birth *

Details of Child

Boy or Girl? *

Address where child lives *

Post Code

First Name of Parent/Guardian *

Parent or Guardian with whom the child lives

Last Name of Parent/Guardian *

Parent or Guardian with whom the child lives

Title of Parent/Guardian *

Parent or Guardian with whom the child lives

Relationship to child (eg mother/father/carer *

Parent or Guardian with whom the child lives

Phone Number *

Parent or Guardian with whom the child lives

Email Address *

Parent or Guardian with whom the child lives

First Name of Parent/Guardian

Parent or Guardian with whom the child lives

Last Name of Parent/Guardian

Parent or Guardian with whom the child lives

Title of Parent/Guardian

Parent or Guardian with whom the child lives

Relationship to child (eg mother/father/carer

Parent or Guardian with whom the child lives

Phone Number

Parent or Guardian with whom the child lives

Email Address

Parent or Guardian with whom the child lives

ADMISSION Date (select one option) *

OPTION A: Part-time: 15 hours entitlement funded by HMRC (part-time place mornings only 8.45am to 11.30am Monday-Friday)

OPTION B: Full-time: 15 hours ADDITIONAL entitlement funded by HMRC (please ensure that you apply and qualify for the additional 15 hours funding from HMRC www.childcarechoices.gov.uk))

OPTION C: Full-time: 15 hours free top up funded by the school (We offer a limited number of FREE 15 hour top up places. In order to qualify, applicants MUST apply to HMRC for the additional 15 hours funding and provide proof to the school that they DO NOT meet the criteria). This is subject to availability and at the school's discretion.)

First name of sibling attending this school

Siblings attending Swaffield School

Last name of sibling attending this school

Siblings attending Swaffield School

Class Name

Siblings attending Swaffield School

If you wish to give reasons for your application, please complete this

Reasons for application

If your child has an acute medical or person reason for needing a place at this school, you must tick this box and provide professionally supported evidence with your application

Reasons for application

I confirm that the information that I have provided is correct to the best of my knowledge. I also understand that there is no automatic right to transfer from Nursery to Reception class at the school. *

Declaration

Yes

Date *

Declaration