Nursery Registration Form

"*" indicates required fields

Child's Details

DD slash MM slash YYYY
Sex*
Please enter a number from 0 to 15.
Do you live the Priors Hall Estate*
Home Address*
Is your child a Looked After Child or Post Looked After Child?

Family Details

Name and address of Parent / Carer 1
Name and address of Parent / Carer 2
If applicable please indicate which person has parental responsibility for the child
Do any siblings currently attend Priors Hall A Learning Community?
Is either one of Parent / Carer 1 or 2 a member of staff at Priors Hall – a learning community’

Medical Information

Name of Doctor
Address of Doctors Practice

Sessions

Sessions Preferred*
Is it your intention for your child to attend Priors a Learning Community main school*

Section

I understand a successful Nursery application does not guarantee my child a place at Priors A Learning community school. Please view our admissions policy for the primary school'*

Confirmation

Form Completed By:*
I consent to the school keep my data on record as required
DD slash MM slash YYYY