INVICTA PRIMARY BLACKHEATH NURSERY APPLICATION FORM
Please complete this form if you would like to apply for a full time or part time place at Invicta Blackheath Nursery
Email address *
Invicta Primary School Nursery Blackheath SE3 7HE
CHILD'S NAME
Your answer
DATE OF BIRTH
MM
/
DD
/
YYYY
GENDER
ADDRESS
Your answer
PARENT/CARER(S) NAME
Your answer
HOME TELEPHONE NUMBER
Your answer
MOBILE TELEPHONE NUMBER
Your answer
WORK TELEPHONE NUMBER
Your answer
ADMISSIONS PRIORITY
A place will be offered to your child in priority order. Our priority order is:

1. Looked After Children
2. Special Educational Needs & Disabilities
3. Siblings * Attending Invicta Blackheath Only
4. Staff
5. Distance

All children are eligible for 15 hours free child care from the term after their third birthday. You may be aware that from April 2017 the government will fund an additional 15 hours for parents who meet the criteria.
To determine your eligibility for Tax Free childcare and 30 hours free childcare visit:

http://childcare-support.tax.service.gov.uk/par/app/eligibility

Once you have been issued with your child's eligibility code please visit the school office with the relevant documents to secure your child's place.
1. Eligibility code
2. Parents national insurance number
3. Child's date of birth
4. Written consent from the parent to share your information with Royal Greenwich

Please note: All parents are required to pay £3 per full day for nursery sundries
SIBLING(S) CURRENTLY AT INVICTA
SIBLING(S) NAME and DOB
Your answer
If you would like to take up a 30 hour place please select option 3. Alternatively, we offer two blocks for our 15 hours places. Please make a preference.
Choose an option to top up your child's hours at a cost of £25 per 3 hours session.
No extra childcare needed
8.45am -3.30pm
8.45am - 11.45am (Wednesdays Only)
11.45am - 3.30pm (Wednesdays only)
Monday
Tuesday
Wednesday
Thursday
Friday
30 Hours Entitlement Eligibility
Please note that if you require a school lunch for your child there will be an additional charge of £5.50 per day (including meal & sundries), including children eligible for 30 hours. Please note: All parents are required to pay £3 per full day for nursery sundries if you order a school meal. Do you require a school lunch?
Breakfast Club runs from 7.45am at a charge of £7 per session. Which days would you like for Breakfast Club?
Which days are you potentially interested in for after school care?
I understand & agree that to secure a place at Invicta Nursery I will pay the fees a half term in advance.
Your answer
A copy of your responses will be emailed to the address you provided.
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