Oldfield Brow Primary School - Nursery Application Form

Applications for admission to the Nursery are considered by the Headteacher and Nursery staff. In view of the limited number of places available, children will normally be accepted on a part-time basis. Copies of the written nursery admissions policy are available on request.

Child’s Details:

Surname:______________________

Other Names:______________________

Home Address:______________________

Date of Birth:______________________

Sex:______________________

Religion:______________________

Home Language:______________________

Parental Details:

Surname:______________________

Other Names:______________________

Tel (Home):______________________

Relationship to child:______________________

Home Address:______________________

Tel (Work):______________________

Post Code:______________________

Other Children:

Name:______________________

Date of Birth:______________________

School attended:______________________

Nursery Placement

Would you prefer a morning or afternoon session? ______________________

Is your child presently receiving any nursery provision? _______
If so, where?______________________

Have you applied for a nursery place at any other school? _______
If so, where?______________________

Do you wish your child to attend Oldfield Brow Primary when they reach school age?_______

Other Information

Does your child have any medical condition which the Nursery needs to be aware of?_______
If so, please give details?____________________________________________

Does your child have any special educational needs (speech or physical difficulties etc)?_______
If so, please give details?____________________________________________

Legal Parent/Guardian - Sign Here

Signed:______________________

(Legal Parent/Guardian)

Date:______________________

Taylor Road, Altrincham, Cheshire. WA14 4LE. Tel: 0161 926 8646

<< click here to return to previous page