Nursery Application Form

We have made this form as simple as possible. Please help us by filling in as much as you can about you and your child. You must fill in at least the boxes with black borders. Admissions for Reception should be made via the http://www.derbyshire.gov.uk/admissions . In year admissions for Year 1 and Year 2 should be also made via Derbyshire County Council admissions.

Which school?
Nursery  
Tell us about your child
Male   Female
about you and and your family
Parent   Legal Guardian
your child's present school
your child's doctor or health visitor
Do you want to tell us any more? Please write your email address in this box as well as any further info.

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page last updated: 11/01/2016

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