NCEA Bishop's Primary School Nursery Application Form

NCEA Bishop’s Primary School Nursery Application Form Please note that a child cannot be considered for admission to Nursery until the term following their 3rd birthday, a place may not be available until the September following their third birthday

Pupil Information Forename(s): Gender: Address:

Surname: D.O.B: Postcode:

Ethnicity: Campus First Preference: Campus Second Preference: Session Preference: Previous/Current Nursery:

Religion:

Morning Session

Parent/Guardian Information Forename: Address: Home Telephone: Work Telephone: Parental Responsibility: Yes / No Forename: Address: Home Telephone: Work Telephone: Parental Responsibility: Yes / No

First Language:

Afternoon Session

Surname: Mobile Telephone: Relationship to Child: Surname: Mobile Telephone: Relationship to Child:

Siblings attending Bishop’s Primary School Name: Campus: Name: Campus: Name: Campus:

Year Group: Year Group: Year Group:

Additional Information Does your child have an Education and Health Care Plan? Does your child currently receive Speech and Language Therapy? Is your child a Looked After Child? Medical Information:

Admission:

Either

OFFICE USE ONLY Spreadsheet:

Yes Yes Yes

SIMS:

No No No