Nursery Registration Form

Please complete all fields marked (*)

Your first name *

Your last name *

Your email *

Mobile number: *

Child's full name: *

Date of Birth: *

Age: *

Gender: *

Male

Female

Address: *

Nationality:

Home Language:

Special needs:

Medical needs:

Sibling/s attending St Andre's School:

Current nursery provider:

Preferred start date: *

Days and times required: *

Mornings (15 hours) Monday - Friday 9:00am - 12pm (Not staying for lunch)

Afternoons (15 hours) Monday - Friday 12:15pm - 3:00pm (Not staying for lunch)

All day (30 hours) Monday - Friday 9:00am - 3:00pm (Including a free half an hour for lunch)

All children are entitled to 15 hours Nursery provision per week, (term time only). Some children will be entitled to 30 hours per week, (only if both parents are working) for more information please contact the school office or by looking on the website childcarechoices.gov.uk *

I have read the above information

Please note, that parents and carers are required to provide your child with a healthy snack and their own nappies, wipes and cream (including nappy cream, sun cream etc.) for their child. These items should be clearly labelled and supplied in sufficient quantity to meet the child's daily needs. This ensures consistency in the products used and helps support each child's comfort and routine. *

I have read the above information

Any other information you feel is important for us to know

St Andrew's C of E Primary School

St Andrew'sCE Primary School
Growing Learners to Live in God's World

Nursery Registration Form