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NA1

EDUCATION

Montalbo Nursery School

Application for a Nursery Place

Child’s Name: ____________________________________________

Address: ____________________________________________

____________________________________________

Tel. No: _____________________

Date of Birth: _____________________

Name of Parent/Carer: ____________________________________________

Have you applied for your child’s admission to any other nursery school/unit?
* YES/NO

Has your child been offered a place at any other nursery. *YES/NO

If so, please state which other nursery school(s)/unit(s):

________________________________________________________________

If your child has a Statement of Special Educational Needs or will require


additional support in Nursery, please inform us as soon as possible.

Name of First Choice Nursery School/Unit: ________________________

________________________________________________________________

Date of Application: ___________________________________________

Signed: ___________________________________________

* delete as necessary Session preference: Morning / Afternoon

To be completed by the School

Date of entry to primary school: ____________________________________

NA2: NA3: ADMISSION DATE: UPN NO:

PARENTAL PREF FORM:

Nursery Admissions Policy 2005/P

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