Application for Admission to Nursery 2024

Closing Date: Friday 15th December at 4pm.

If you have any queries then please email admissions@cleadonacademy.co.uk

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* 1. Full name of child:

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* 2. Child's Permanent Address:

Address

Town/City

County

Post Code

Email Address

Phone Number

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* 3. Date of Birth:

Date / Time

Date

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* 4. Gender:

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* 5. Religion:

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* 6. Ethnicity

White or Caucasian

Black or Black British

Asian or Asian British

Mixed Race

Other ethnic background

I prefer not to say

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* 7. Language(spoken at home)

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* 8. Details of those with parental responsibility:

Name

Address

Town/City

County

Post Code

Relationship to Child

Email Address

Phone Number

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* 9. Details of those with parental responsibility:

Name

Address

Town/City

County

Post Code

Relationship to Child

Email Address

Phone Number

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* 10. With whom does the child reside with?

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* 11. My child has a Court Order in place

Yes

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* 12. My child has an EHCP or an application is in process.

Yes

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* 13. My child has additional needs that school needs to be aware of

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* 14. Previous School / Nursery:

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* 15. Siblings currently attending the Academy:

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* 16. Hours Requested (Please order in preference)

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* 17. Signed (Parent / Carer)

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* 18. Date:

Date / Time

Date