Central Primary School Nursery Admissions Form 2021-2022

Central Primary School
Nursery Application Form

Admissions 2023/2024 for Children born between 1st Sept 2019 and 31st August 2020
For further information or any queries please email admin@central.herts.sch.uk
Child's Details
Child's Name*

First NameMiddle NameFamily Name
Date of Birth*

DayMonthYear
Gender*

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

Street Address

Street Address Line 2

CityState / Province

Postcode
Special Educational Needs*

YesNo
At Risk*

YesNo
Children Looked After*

YesNo
Social or Medical Reasons*

YesNo
If you have a sibling at this school, enter their name and date of birth
Sibling's Name

First NameLast Name
Sibling's Date of Birth

DayMonthYear
Early years setting/s child attends or has attended (if applicable)
At Central Primary we offer 30 Nursery Places for 30 hours.

All of our children stay in school from 8.45am until 3.30pm Monday to Friday each week of the school term.

On acceptance you will be expected to register for additional funding prior to starting at Central Primary but places will be allocated according to the criteria, not by eligibility for additional funds.
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*
Contact Number (mobile/house)*
Parent/carer address if different from above

Street Address

Street Address Line 2

CityCounty

Postcode
E-mail*
If you have any other requirements, please enter here:
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. 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 Notice*

YesNo
Declaration

The information I have given on this form is complete and accurate. I understand that my personal information will be held securely and will be used only for local authority purposes.

I agree to Central Primary School using this information to consider my application for a nursery place. I understand that if any part of this completed application form is found false the offer of a place will be withdrawn.

I understand that the completion of an application form does not guarantee a place in the nursery class.

I understand that, if offered a place in the nursery class, I will have to apply separately for a place in reception.
I agree with the declarations above*

YesNo
Should be Empty:

Central Primary School

Nursery Application Form

Child's Details

Parent/Carer Information

Declaration