Application to join (10.3)

 

Reepham Nursery School’s Application Form
The Pavilion, Stimpsons Piece, Reepham, NR10 4LL
Telephone: 01603-871586    Email: reephamnurseryschool@btconnect.com
Charity Number: 1028915
Personal details
First name(s) of child:
Surname of child: Date of birth:
Full address:
Postcode:
Parent/carer name (1):
Relationship to child:
Full address (if different):
Postcode:
Daytime/work tel: Home: Mobile:
Parent/carer name (2):
Relationship to child:
Full address (if different):
Postcode:
Daytime/work tel: Home: Mobile:
 

 

Session request
Preferred start date:
Please tick the sessions you would like your child to attend:
Morning (9.30am – 12.30pm) □ Mon □ Tues      □ Wed □ Thurs
Afternoon (12.30pm -3.30pm) □ Mon □ Tues □ Thurs
This application places your child on our waiting list. We will contact you as soon as a suitable place becomes available. Please note that completion of this form does not guarantee a place for your child.

Once your child is offered a place and you accept it, on admission further personal information and family details are required for our records. Your child’s birth certificate is required at this point with a copy made for our file.

If you find that you no longer need the place, please inform us as soon as possible.

Signed parent/carer (1): Date:
Signed parent/carer (2): Date:
Please be advised that this application form and offer of a place is subject to your acceptance of our terms and conditions.
For office use only:
Deposit paid: Date paid:
Tear off the following part to return to the parent(s)
A place will be available for (child’s name)
* on * or; we will notify you when a place becomes free.
Signed on behalf of the provider:
Name: Job title:

*Please note that REEPHAM NURSERY SCHOOL asks for a voluntary £25 non-refundable administration fee on acceptance of a nursery place.