Form from: Alwoodley Primary

NURSERY APPLICATION FORM

Please complete this form in order for your child to be added to the waiting list. 

Please inform school as soon as possible should any of the attached information change.

We currently admit children to our Nursery in the September after their 3rd Birthday. However, should a space become available earlier than this (once your child has turned 3 years old), we may contact you earlier. 

Please remember that putting your child’s name on the application list does not give you priority over other children who might apply later. 

Please note that Nursery places are not a guarantee of a Reception school place.




CHILD INFORMATION

Pupil Forename

Pupil Middle Name

Pupil Surname

Pupil Chosen Name

Pupil Date of Birth

Pupil Gender

Pupil Postcode

Pupil House Number

Pupil Address

Main telephone number

Main email address

Previous address if from outside Leeds or at present address less than one year

Parent/Carer Information
Parent/Carer 1. (will receive all texts/email messages)

Title

Other

First Name

Surname

DOB

Relationship to child

Does this person have parental responsibility for this child?

Postcode

House Number

Address

Personal email address

Mobile Number

Do you wish to add another telephone number?

Additional Telephone Number

Location of additional telephone number

Other location

Parent/Carer 2.

Title

Other

First Name

Surname

DOB

Relationship to child

Does this person have parental responsibility for this child?

Postcode

House Number

Address

Personal email address

Mobile Number

Do you wish to add another telephone number?

Additional Telephone Number

Location of additional telephone number

Other location

OTHER INFORMATION

Does your child have any educational or healthcare needs that you wish to tell us about?

Please us this space to tell us about your childs additional educational and/or healthcare needs

Use this space to add any further information

Please sign below

signatureplease use your mouse or finger sign above

Name of person completing this form

Relationship to child