Greenfield Nursery & Pre-School Admissions Form

Information on our admissions criteria can be found in our admissions policy on our website.

For further information or any queries please call 01992 760779.

Completing this form does NOT guarantee a place in Nursery.

Please note: Nursery applications should only be made for children aged 3 and 4.

Child's Name*

First nameMiddle nameFamily name

Gender*

MaleFemale

Date of birth*

DayMonthYear

NHS no.*

Ethnicity*

Home Language*

Address*

Street Address

Street Address Line 2

CityCounty

Postcode

Mobile/Home number*

Email address*

Do you receive benefits*

YesNo

Details of benefits*

Please indicate session time preferred: am/pm/30 hours (term after 3rd birthday). See if you are eligible at www.childcarechoices.gov.uk

Session times*

Mornings (8.50 - 11.50am)Afternoons (12.30 - 3.30pm)30 hoursBreakfast Club (8.00 - 8.40am) Please speak to the office with regards to Fees etc.

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.

Name of parent/guardian*

TitleFirst NameLast Name

Parent's date of birth*

DayMonthYear

Parent's NI no.*

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.

I understand and I authorise Greenfield Nursery School to claim free entitlement funding as agreed on behalf of my child and give my consent. (This information is used to apply for funding on Hertfordshire Funding Database when your child becomes eligible)*

Yes

I have read and agree with our Parent Privacy Notice*

Yes

I confirm that the details above are correct to the best of my knowledge*

Yes

Greenfield Nursery Application Form

1. About your Child