Nursery Initial Enquiry Form

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1. Date of the application *

	DD/MM/YYYY

Welcome to Nursery Initial Enquiry Online Form. Please fill out all the required information to the best of your knowledge.

2. CHILD'S DETAILS *

Name	*
Surname	*
Date of birth	*
Gender (Boy/Girl)	*

3. NURSERY PREFERENCES *

30 hours (proof of entitlement required) - Mon 8.45-11.45am & Tue-Fri 8.45am-3.30pm
15 hours – morning session (AM) - Mon-Fri 8.45-11.45am
15 hours – afternoon session (PM) - Mon-Fri 12.45-3.45pm

4. Does your child have any siblings at NHP? *

No
Yes - please provide full name(s) of siblings:

5. Language(s) spoken at home *

6. Does your child have any Special Educational Needs? *

No
Yes - please specify

7. Current or previous Nursery/School attended (if not applicable, write N/A): *

Nursery / School name	*
Dates from/to	*

8. I understand that I am required to give the appropriate notice to the provider of my intention to move my child to North Harringay Primary School *

I understand

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