Basil Street, Bradford, West Yorkshire, BD5 9HL
01274 574539
office@canterburynurseryschool.co.uk
Canterbury Nursery School
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Home
About
Staff
Our Environments
Awards and Chartermarks
Admissions
Attendance
Opening Times
Holiday Schedules
Free Childcare Places
Exceed Partnerships
Vacancies
Curriculum
Learning Suites
Child Protection and Safeguarding
Key Documents
SEND
Ofsted Reports
Learning from Home
Family Support
Governing Body
Contact Us
Private Staff Page
Admission Form online
Admission Form
Child's legal forename
Middle name
Child's legal surname
Child's preferred forename
Date of birth
Gender
Male
Female
Current Address
Which session would you prefer your child to attend?
AM
PM
Are you applying for a 2 year old or 3 year old place?
2 year old
3 year old
Which type of place are you applying for?
2 year-old free place 15 hours: Household income below £16190
2 year-old Working Parents place 15 hours
3 year-old universal place 15 hours
3 year-old Working Parents place 30 hours
Parent/Carer 1 Full name
Parent/Carer 1 Does this person have Parental Responsibility?
Yes
No
Parent/Carer 1 Relationship to child
Parent/Carer 1 Date of birth
Parent/Carer 1 National Insurance number
Parent/Carer 1 Telephone number
Parent/Carer 1 Email address
Parent/Carer 2 Full name
Parent/Carer 2 Does this have Parental Responsibility?
Yes
No
Not applicable
Parent/Carer 2 Relationship to child
Parent/Carer 2 Date of birth
Parent/Carer 2 National Insurance number
Parent/Carer 2 Telephone number
Parent/Carer 2 Email address
Is your address the same as child?
Yes
No
Not applicable
Current Address if different to child
All other people living at this/these address(es). Please include date(s) of birth
Are there any siblings who have attended or are currently attending Canterbury Nursery? Please give details below including date(s) of birth
Emergency Contact 1 Full name
Emergency Contact 1 Telephone number
Emergency Contact 1 Relationship to child
Emergency Contact 2 Full name
Emergency Contact 2 Telephone number
Emergency Contact 2 Relationship to child
Dietary requirements
None
Halal
Vegetarian
Vegan
Dietary requirements: Other please state
Medical Practice Name and Address
Does your child suffer from any medical condition? If so please state
Does your child require any medication? If so who administers it?
Is your child up to date with their immunisations?
Does your child suffer from any allergies such as food or creams etc? If so please state
Ethnicity
Home language
English as additional language
Yes
No
Country of birth
Nationality
Religion
Asylum Status
None
Asylum Seeker
Refugee
Does your child have any identified special educational needs or involvement? Please describe below
Is the child currently in care?
Yes
No
Current/Previous Social Worker involvement
Yes
No
Social Worker's name
Social Worker's contact number
Any other services involved
Name and Date of any previous nursery attended
In case of emergency, I authorise the staff to obtain any emergency treatment
Yes
No
May we apply sun cream to your child when necessary?
Yes
No
I authorise staff to take photographs/videos for use within nursery e.g. displays in school
Yes
No
I authorise staff to take photographs/videos for publicity/training purposes e.g. school leaflet
Yes
No
I authorise staff to take photographs/videos for the school website
Yes
No
I authorise staff to take photographs/videos for social media e.g. secure school Facebook page
Yes
No
Submit