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Nursery Application Form
We encourage visits to our school and are happy to welcome both you and your child.  We hold Open Evenings in January and October, the dates of which will be published on our website once arranged.  If you would further information, please telephone to arrange a telephone appointment with our Early Years Leader, Mrs Clair Yarranton, on 01527 872913.
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Email *
Child's Legal Surname *
Child's Forename(s) including any middle names *
Chosen Name for Child (if different) *
Child's Date of Birth *
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DD
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YYYY
Child's Gender *
Child's Home Address *
Child's Home Postcode *
Parent/Carer 1 Full Name *
Relationship to child *
Home telephone number *
Mobile telephone number *
Parent/Carer 2 full name
Relationship to child
Home address (if different)
Home telephone number
Mobile telephone number
Is your child looked after by the Local Authority? *
Does your child have any additional education or healthcare needs? *
If you have answered 'yes' to the above question, please give details here.
Are there any professionals involved with your child? For example, Speech and Language, Chadsgrove Outreach, Paediatrician, Health Visitor etc. *
If you have answered 'yes' to the above question, please give details here.
Pre-school or nursery setting currently or previously attended by your child. *
Will your child continue to attend another setting when they start at Catshill First School and Nursery?  If yes, please provide the name of the setting and the hours attended.  This will result in you being charged for additional hours by both Catshill First School and Nursery and the other setting if the total hours exceed your funded entitlement. *
Please name any siblings who already attend our Nursery (NOT the main school)
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