Nursery Admissions Form

Nursery 20/21 Supplementary Information Form

* Indicates required field

Your child's First Name and Surname *

Child's Date of Birth *

Home Address *

Parent/Carer's Name *

Email *

Telephone No *

Address if different from above *

Details of Religion: *

Catholic Other Christian Other Faith No Religion

Church where child was baptised: *

Date of Baptism: *

Name of priest providing Certificate of Catholic Practice or religious leader supplying letter confirming membership of the faith community (where appropriate): *

Address of the Parish Priest/Religious Leader *

Name of brothers or sisters at this school who will be still attending at the date of admissions: *

ChooseDoes you child have exceptional medical, pastoral or social needs that can only be met by attendance at this school? (Professional evidence will be required) One *

Yes No

Is your child 'looked after' by the Local Authority, or adopted, having previously been 'looked after' or subject or child arrangements order or special guardianship orders? *

Yes No

I confirm that I have read and understood the Admissions Policy and that the information I have provided is correct. I understand that I must notify the school immediately if there is any change to these details and that should any information I have given prove to be inaccurate that the governors may withdraw any offer of a place even if the child has already started school.

Signed: *

Date: *

Please note that in due course you will be asked to provide the following documents:

Copy of baptism certificate (where necessary)
Copy of the child's short birth certificate
A Certificate of Catholic Practice from your parish priest (where applicable) or a letter from the religious minister of leader
Evidence of exceptional needs (where necessary)
Copy of the council tax bill

Submit