Greenfield Nursery & Pre-School Admissions Form

  • Greenfield Nursery & Pre-School Admissions Form

  • Information on our admissions criteria can be found at: http://greenfieldnursery.co.uk/nursery/applying-for-primary-nursery-and-pre-school

    For further information or any queries please call 01992 760779

  • 1. About your Child

  • Sex at Birth*
  • Date of birth*
     - -
  • Previous setting attended*
  • If your child has attended another setting please complete. I give permission for you to contact my previous setting with regards to my child starting at Greenfield*

  • 2. Parents/Carers Contacts Details

  • Parent/Carer 1

  • Parental responsibility*
  • Date of birth*
     - -
  • Parent authorised to collect?*
  • Is your address the same as the child's?*

  • Parent/Carer 2

  • Parental responsibility
  • Date of birth
     - -
  • Parent authorised to collect?
  • Is your address the same as the child's?

  • 3. Sessions Required

  • 15 Hours Entitlement

    Please note that all Nursery sessions run Monday to Friday inclusive. We do not offer part week or a combination of morning and afternoon sessions due to the manner in which the curriculum is delivered.

    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 child care (including 15 hours education). Please speak to the school office regarding the 30 hour timetable.

    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.

    Additional Provisions

    Breakfast Club

    We offer Breakfast Club Monday to Friday which is booked via the office and is a chargeable session which includes a choice of cereal, fruit or toast.

    30 hours 

    Our 30 hour provision:

    Monday to Thursday 8.40am to 3.25pm (27 hours) & Friday 8.40 to 11.40 (3 hours)

    If you would like your child to stay for lunch and/or the afternoon session on a Friday this is chargeable and you are able to book via the office.

    Please note the above is subject to change.

  • Do you receive any benefits*
  • Session times*
  • 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.*

  • 4. Medical Information

  • Does your child have any medical conditions including allergies?*
  • Has your child been immunised against?
  • In the event of an emergency and the school is unable to contact any of the emergency contacts listed above, I give permission for my child to be accompanied by a member of staff and taken to hospital in an ambulance. If necessary I give permission for my child to be X rayed.*
  • I give consent for a member of staff to apply sun cream*
  • I give consent for a member of staff to change my child clothes/nappy*
  • I give consent for face paints to be used on my child*
  • I give consent for Calpol to be administered if necessary*

  • 5. Dietary Needs

  • Does your child have any special dietary needs?*
  • Special dietary needs*

  • 6. Special Educational Needs & Social Care

  • Does your child have an Education, Health & Care Plan or an Individual Education Plan?*
  • Does your child have any special educational needs or disabilities that we need to know of?*
  • Is your child or a sibling of your child the subject of an inter-agency child protection plan and has been placed on the Child Protection Register?*
  • Is your child in the care of/or previously been in the care of the Local Authority (looked after child)?*
  • Is your child adopted or under special guardianship?*
  • Are there any social or medical educational concerns?*
  • Are there any other professionals involved with your child? (Social Worker, Family Worker, Medical Teams, Solicitor, etc)*

  • 7. Ethnicity & Culture

    Please tick one box below to indicate the ethnic background of your child
  • White
  • Mixed
  • Asian or Asian British
  • Black or Black British


  • Religion

  • 8. Service Child in Education

  • Has either parent served in the Armed Forces?*
  • Date from*
     - -
  • Date to*
     - -

  • 9. Use/Consent of Images

  • While your child is at Greenfield we would like to take photographs or video of them in order to capture their learning and their experiences. These are included on their online learning journals through the app. We also sometimes use children’s photographs in displays, literature, staff training, our website and Facebook page and occasionally for the local newspaper. We would like your permission to use photographs or film of your child in this way. 

    To comply with the GDPR 2018 and current Data Protection Act, we need your permission before we can photograph or make any recordings of your child. Please answer the questions below, then sign and date the form where indicated.

    I give permission for my child to be photographed or filmed on video for use:    

  • In my child's online learning journal*
  • In the Federation Newsletter*
  • Within a group photo activity*
  • For displays of learning and experiences in and around the school building*
  • In individual/group photos by the school photographer*
  • On our website*
  • On our Facebook page*
  • In an article in the press*

  • 10. Additional Information

  • Please note that websites can be viewed throughout the world and not just in the United Kingdom where UK law applies.

    Conditions of use

    • Please contact Greenfield at any time if you wish to withdraw your consent.
    • We will not use the personal details or full names (which means first name and surname) of any child or adult in a photographic image on video, on our website, in our documentation or in any of our other printed publications.
    • We will not include personal e-mail or postal addresses, or telephone numbers on video, on our website, in our documentation or in other printed publications.
    • If we use photographs of individual pupils, we may use the first name of that child in the accompanying text or photo caption within the school or for training purposes, but not in any media publications.
    • Photos used within the school for display may be accompanied by the child’s first name, describing what s/he is doing.
    • We may use group or class photographs or footage with very general labels, such as “making Christmas decorations”.   
  • I am willing for my child to join outings organised by the School e.g. a short walk, visit to local shops without prior notice to parents*
  • We use a service called Learning Journals to communicate children's learning. I give consent for Greenfield to register my email address to activate a parent account.*
  • We communicate through our management system Arbor to send messages by email and text. I give consent for Greenfield to register my email address and mobile number with Arbor.*
  • I give permission for Greenfield staff to contact professionals about my child if necessary. If we have any concerns about your child we will talk to you*
  • Does your child have a younger sibling?*
  • Sibling's Date of Birth*
     - -

  • Data Protection


    In accordance with General Data Protection Regulation and current Data Protection Act, the school has a duty to protect this information and to keep it up to date. The school is required to share some of the data with the Local Authority and with the DfE.


    Privacy Notice

    In completing this application form you should refer to our Privacy Notice for Parents/Carers. The personal information collected on this form will be processed to manage your application in accordance with our data protection policy.

    Data Protection Policy

    Please also read the following.

    Admissions Policy

    Charging and Remissions Policy

     

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