Nursery Application Form

Please read the Intimate Care Policy before submitting this form. TAP HERE
Nursery Application Form
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Child's Name
Sex
Your child’s permanent address (at the time of application)
Special Educational Needs
Does your child have a Statement of Special Educational Needs or an Education Health and Care Plan?
At risk
Is your child or sibling of your child, subject of an inter-agency child protection plan and has been placed on the Child Protection Register?
Children in public care
Is your child looked after or was previously looked after?
Social or Medical Reasons
Does your child have a particular medical or social need to go to this school?
Siblings already at Northfields?
Do you have another child already enrolled at Northfields?
Select the option you would prefer for your child
Have you made an application to other Nursery settings?

Please complete the details of both parents if living at the same address

Parent/Carer 1 Name
Parent/Carer 1 Email
Parent/Carer 2 Name
Parent/Carer 2 Email
Address
I have read and agree to the Intimate Care Policy
See the top of this page to access the Intimate Care Policy which you should read before submitting this form.
Finally, do you give us consent to look into your eligibility for Pupil Premium
Search for what Pupil Premium means for the school on our website.