Greenfield Nursery & Pre-School Admissions Form

Greenfield Pre-School Application Form
Information on our admissions criteria can be found on our website in the admission policy.

For further information or any queries please call 01992 760779.

Completing this form does NOT guarantee a place in Pre-School.
1. About your Child
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/all day.
Session times*

Mornings (8.50 - 11.50am)Afternoons (12.30 - 3.30pm)All dayBreakfast Club (8.00 to 8.40am) Please speak to the office with regards to Fees etc.
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
Should be Empty:

Greenfield Pre-School Application Form

1. About your Child