Kingswood Nursery School Admissions Form 2022-2023

Kingswood Nursery School
Application Form

Admissions September 2023 Intake
Please note: Nursery applications should only be made for children born between 1st September 2019 and 31st August 2020.

Information on our admissions criteria can be found at:
http://kingswood.herts.sch.uk/about-us/admissions/

For further information or any queries please email admin@kingswood.herts.sch.uk
Child's Details
Child's Name *

First Name Middle Name Family Name
Date of Birth *

Day Month Year
Gender *

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

Street Address

Street Address Line 2

City

Postcode
Special Educational Needs *

Yes No
Children Looked After *

Yes No
At Risk *

Yes No
Social or Medical Reasons *

Yes No
If you have a sibling at this school, enter their name
Sibling's Name

First Name Last Name
Previous setting attended *

Day Nursery Childminder Kingswood Pre-School Other None
Name of setting *
Telephone number of setting
If you have any other requirements, please enter here:
Sessions Required
15 Hours Entitlement

We offer 5 morning sessions, 8.30 - 11.30am or 5 afternoon sessions, 12.30 - 3.30pm. We do not offer part week or a combination of morning and afternoon sessions.

30 Hours Entitlement

If both parents/single parents are working more than 16 hours at minimum wage (or equivalent) your child may be entitled to 30 hours free early years education.

Parents must apply online at www.childcarechoices.gov.uk to obtain an eligibility code before a 30 hour place can be confirmed. Applications can be made as early as 16 weeks before your child’s third birthday.
Session Times *

Mornings Afternoons 30 hours (if eligible)
I confirm that I am eligible for the 30 hour offer and will apply at the earliest date possible. I will provide the 30 hour code once received and understand that any offer of a 30 hour place is conditional upon this requirement. Failure to comply may result in the offer being withdrawn. *

Yes
HMRC code
If you have applied for 30 hours free childcare, please provide your HMRC 30 hour code
Parent/Carer Information
Parent/Carer 1
Relationship to the Child *
eg Mother/Father/Carer/Stepmother/Father/Social Worker
Name *

Title First Name Last Name
Date of Birth *

Day Month Year
NI Number *
Contact Number (mobile/house) *
Parent/carer address if different from above

Street Address

Street Address Line 2

City

Postcode
E-mail *
Parent/Carer 2
Relationship to the Child
eg Mother/Father/Carer/Stepmother/Father/Social Worker
Name

Title First Name Last Name
Date of Birth

Day Month Year
NI Number
Contact Number (mobile/house)
Parent/carer address if different from above

Street Address

Street Address Line 2

City

Postcode
E-mail
In completing this application form you should refer to our GDPR Privacy Notice for Parents/Carers. 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 Privacy Notice for Parents/Carers *

Yes
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 Kingswood Nursery 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 agree with the declarations above *

Yes
Should be Empty:

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Kingswood Nursery School

Application Form

Child's Details

Sessions Required

Parent/Carer Information

Declaration