Highgate Primary Nursery Application Form

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Highgate Primary School Nursery application Form

Children start Highgate Primary Nursery in the school year in which they have their fourth birthday. The great majority of children will start in the September after they have turned three, however if places are available, a few children may be admitted in January and April.

Every family is eligible for 15 hours free childcare a week. Some families are eligible for 30 hours free childcare a week, please check your eligibility following the link: https://www.gov.uk/30-hours-free-childcare

You can choose the type of Nursery place, subject to availability, which suits your family:

Part time, either morning or afternoon, five days a week.
Part time, with the option of top-up sessions.
The 30 hours a week free childcare scheme (subject to proof of eligibility).
The 30 hours a week free childcare scheme (subject to proof of eligibility) with the additional lunchtime half hour.

If you wish to apply for a place at the nursery, please fill in an application form once your child has turned two years old.

Applications will be processed in February in the calendar year that the child is due to start nursery. Parents will be informed in March if their child has a place.

If nursery places are oversubscribed, the Haringey admissions criteria will be applied. Once you have been offered a place, you are required to come to our main school office with proof of your child’s age (passport and birth certificate) and most recent proof of address (utility bill). You can then fill in the admission forms for our records.

If a place is not available, your child will be placed on our waiting list.

Criteria for admission:

Children assessed by the local authority as being in need according to the terms of the Children Act.
Children who have a sibling attending the school
As the crow flies distance from the school

The information you submit will remain confidential. Details of how the school uses your data can be found on the school website, by looking at the General Data Protection Regulation (GDPR) Policy and Pupil and Parent Privacy Notices.

Please complete this form using lower case letters, e.g. Tom not TOM, with capital letters only where required.

We expect this form to take you approximately 20 minutes to complete.

All questions which have an asterisk (*) must be answered. If left unanswered, the Smart Survey will move you to the beginning of the survey again.

Please submit your response by clicking the 'Finish Application' button at the end of the form.

Please note, you will not receive a confirmation of the submission.

Many thanks for your time.

Child's Surname/Family Name

Child's First Name

Child's Date of Birth

Child's Country of Birth

Child's Date of Entry If Born Outside of the UK

Child's Nationality

Child's Gender Registered on Birth Certificate

Male

Female

Parent's Full Name - Emergency Contact Priority 1

Address - please note this must be the address where the child normally lives and with the adult who has parental responsibility. A current proof of address e.g. a recent Electric, Gas or Council Tax Bill must be submitted to the Office.

Postcode

Home Telephone Number

Work Telephone Number

Mobile Telephone Number

Email Address:

Relationship to Child

Parent's Full Name - Emergency Contact Priority 2

Address

Postcode

Home Telephone Number

Work Telephone Number

Mobile Telephone Number

Email Address

Relationship to Child

Nursery sessions preferences:

15 hours free childcare provision Morning place - 5 days a week, 9 am to 12 noon

15 hours free childcare provision Afternoon place - 5 days a week, 12.30 pm to 3.30 pm

30 hours free childcare provision (please check entitlements before requesting full time place) 9 am to 3.30 pm (not including lunch break 12.00 noon to 12.30 pm)

Please indicate what additional nursery sessions you will require:

Breakfast club 8 am to 9 am

Lunch sessions 12.00 noon to 12.30 pm

Extra afternoon sessions (if not entitled to 30 hours provision)

Night owls session 3.30 pm to 6 pm.

None

Will decide later

Name of Present/Previous Nursery/Childcare/School

Address of Present/Previous Nursery/Childcare/School

Telephone number of Present/Previous Nursery/Childcare/School

Please provide information of any other children you may have, including their name, age and gender.

Is either parent, with parental responsibility, a member of the Armed Forces?

Yes

Please indicate if your child belongs to one of the following groups. If your answer is yes, please provide the paperwork to our Designated Safeguarding Lead.

Yes - My child has been adopted from care

Yes - My child has left care through special guardianship arrangement

Yes - My child has left care and is subject to a child arrangement order

My child does not belong to any of the above groups

This is required

Please select which of the following statements is true of your child in relation to Speech and Language Therapy:

My child is currently receiving speech and language therapy from the NHS

My child has previously received speech and language therapy from the NHS

My child has never received speech and language therapy

Please select which of the following statements is true of your child's Communications:

I have concerns about my child's communication skills.

I do not have concerns abut my child's communication skills.

Please select which of the following statements is true of your child in relation to Occupational Therapy and Physiotherapy:

My child is currently receiving occupational therapy or physiotherapy from the NHS.

My child has previously received occupational therapy or physiotherapy from the NHS.

My child has accessed independent/private occupational therapy or physiotherapy.

My child has never received occupational therapy or physiotherapy.

Please select which of the following statements is true of your child's Gross Motor Skills (large muscle and whole body movements) or Fine Motor Skills (small muscle movements usually occur in the body parts such as fingers).

I have concerns about my child's Gross Motor Skills.

I have concerns about my child's Fine Motor Skills.

I do not have concerns about my child's Motor Skills.

The school needs to know who provided the information on this form.

Full Name:

Relationship to the child:

Date:

Page 1

Child's Surname/Family Name

Child's First Name

Child's Date of Birth

Child's Country of Birth

Child's Date of Entry If Born Outside of the UK

Child's Nationality

Child's Gender Registered on Birth Certificate

Parent's Full Name - Emergency Contact Priority 1

Address - please note this must be the address where the child normally lives and with the adult who has parental responsibility. A current proof of address e.g. a recent Electric, Gas or Council Tax Bill must be submitted to the Office.

Postcode

Home Telephone Number

Work Telephone Number

Mobile Telephone Number

Email Address:

Relationship to Child

Parent's Full Name - Emergency Contact Priority 2

Address

Postcode

Home Telephone Number

Work Telephone Number

Mobile Telephone Number

Email Address

Relationship to Child

Nursery sessions preferences:

Please indicate what additional nursery sessions you will require:

Name of Present/Previous Nursery/Childcare/School

Address of Present/Previous Nursery/Childcare/School

Telephone number of Present/Previous Nursery/Childcare/School

Please provide information of any other children you may have, including their name, age and gender.

Is either parent, with parental responsibility, a member of the Armed Forces?

Please indicate if your child belongs to one of the following groups. If your answer is yes, please provide the paperwork to our Designated Safeguarding Lead.

Which borough does your child live in?

Name, number & address of Doctor and Medical Practice

Medical Needs and Health Information including any long term plans or medication

Allergies

Special Dietary Needs

Was your child born:

Does your child have any SEND (Special Educational Needs and Disabilities)?

Please select which of the following statements is true of your child in relation to Speech and Language Therapy:

Please select which of the following statements is true of your child's Communications:

Please select which of the following statements is true of your child in relation to Occupational Therapy and Physiotherapy:

Please select which of the following statements is true of your child's Gross Motor Skills (large muscle and whole body movements) or Fine Motor Skills (small muscle movements usually occur in the body parts such as fingers).

Please tick one box which describes your Child's Ethnic Group

Please tick one box which describes your child's first language

Please tick one box which best describes your child's religion

The school needs to know who provided the information on this form.