Abel Smith Nursery Application - September 2021 intake
Please complete and submit the form as soon as possible.
Child's first name (As on birth certificate)
Child's middle name (As on birth certificate)
Child's surname (As on birth certificate)
Child's date of birth
Child's ethnic group
White - English, Welsh, Scottish, Northern Irish or British
White - Irish
White - Gypsy or Irish Traveller
White - Any other White background
Mixed or Multiple ethnic groups - White & Black Caribbean
Mixed or Multiple ethnic groups - White & Black African
Mixed or Multiple ethnic groups - White & Asian
Mixed or Multiple ethnic groups - Any other Mixed or Multiple ethnic background
Asian or Asian British - Indian
Asian or Asian British - Pakistani
Asian or Asian British - Bangladeshi
Asian or Asian British - Chinese
Asian or Asian British - Any other Asian background
Black, African, Caribbean or Black British - African
Black, African, Caribbean or Black British - Caribbean
Black, African, Caribbean or Black British - Any other Black, African or Caribbean background
Other ethnic group - Arab
Other ethnic group - Any other ethnic group
Child's first language
Language spoken at home
Child's country of birth
Child's National Health Number (NHS number). This number starts with a 6 or 7
Your relationship to the child
Child's permanent address
Does your child have special educational needs or disabilities (SEND)?
Educational Health Care Plan (EHCP)
Disability Living Allowance
Is your child or a sibling of your child, subject to an inter-agency child protection plan and placed on a child protection register?
Is your child looked after, or was looked after and is now adopted, or with a child arrangement or special guardianship order?
Child looked after (i.e. in Foster care)
Special Guardianship order
None of the above
Does your child have a particular medical or social need to go to this school? We will contact you for evidence to support this need.
Yes (We will contact you to provide clarification and further evidence of this need)
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This form was created inside of Abel Smith School.