Admissions

Full Name*

(As it appears on the birth certificate)

Date of Birth*

Gender*

Ethnic Origin*

Address*

Name of Parent/Guardian

Telephone/Mobile No.

Medical Conditions*

Does your child have any medical conditions or any allergies? Eg Eczema, Asthma, Food allergies If yes, please specify

Please specify

Has your child attended any other nursery/school?*

Which nursery/school and how long?

Are you interested in a Playgroup place?

Are you interested in a Nursery place?

Do you qualify for a 2 year old voucher?

Do you qualify for the 30 hour free childcare?

Will your child continue full-time schooling at Paradise Primary after Nursery?

Do you have any other children attending Paradise (or have submitted Application forms in for)?

Please provide

Name	DOB	Class

Would you like to place your child on the waiting list if there are no places available?

Birth Certificate

Please upload a copy of the birth certificate.

Signature (full name)*

Application for Registration Form