Nursery Admissions

Child's Forename *

Child's Surname *

Home Address *

Postcode *

Child's Date of Birth *

Sex *

Male

Female

Please list any siblings who currently attend Grestone Academy (please ensure you include their class):

Languages Spoken: (List as many as you like) *

Does your child have any special educational needs and or disabilities in relation to any of the following: *

Speech, Language and Communication

Learning

Visual/Hearing

Social Interaction

Physical

Other

None

If you have ticked any of the above, please provide details:

Contact Name *

Relationship to Child *

Mother

Father

Carer

Other

If selected 'Other' above, please declare what relation the contact is to the child:

Address (if different to Child's Address)

Telephone Number *

Email Address *

Contact Date of Birth: *

National Insurance Number *

Grestone Academy Nursery admits children the term after they turn 3 years old. At this point, children are entitled to 15 hours free childcare. Please indicate which you would prefer: *

Mornings

Afternoons

Full time

In order to access the free 30 hour place as a working parent, you need to provide us with an 11 digit eligibility code. If you think you may be entitled to the free 30 hours then please visit www.gov.uk/apply-30-hours-free-childcare to apply for a share code and proivide in the box below..

Is your child currently attending another Nursery? If selected 'Yes' please state the name and address of the setting.