| Reepham Nursery School’s Application Form The Pavilion, Stimpsons Piece, Reepham, NR10 4LL Telephone: 01603-871586 Email: reephamnurseryschool@btconnect.com Charity Number: 1028915 |
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| 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: | ||||||||||||||||||||||||||||
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| 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. |
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| 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.
