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* 1. The school uses the following criteria for admissions into our Nursery.  The tie-breaker for all criteria is children living closest to the school (measured in a straight line using a computerised mapping system.  The school is planning to offer places for 30 hour provision and places for 15 hour provision.  This is subject to change based on demand.  All places offered will follow the criteria for admissions.  Please select the ONE admission criterion you are applying under from the list below.

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* 2. What is your CHILD'S SURNAME?

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* 3. What is your CHILD'S FIRST NAME?

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* 4. What is your CHILD'S DATE OF BIRTH?

Date

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* 5. What is your CHILD'S GENDER?

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* 6. What is the NAME OF THE FIRST PERSON WITH PARENTAL RESPONSIBILITY?

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* 7. What is the RELATIONSHIP TO THE CHILD OF THE FIRST PERSON WITH PARENTAL RESPONSIBILITY?

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* 8. What is the ADDRESS OF THE FIRST PERSON WITH PARENTAL RESPONSIBILITY? The address must be the address which is the child's main residence and with the adult/s who has or have parental responsibility.  Proof of address will need to be provided to the school.

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* 9. What is the POSTCODE OF THE ADDRESS OF THE FIRST PERSON WITH PARENTAL RESPONSIBILITY?

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* 10. What is the HOME TELEPHONE NUMBER OF THE FIRST PERSON WITH PARENTAL RESPONSIBILITY? Please enter N/A if there is no landline telephone number.

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* 11. What is the MOBILE TELEPHONE NUMBER OF THE FIRST PERSON WITH PARENTAL RESPONSIBILITY?  Please enter N/A if there is no mobile telephone number.

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* 12. What is the WORK TELEPHONE NUMBER OF THE FIRST PERSON WITH PARENTAL RESPONSIBILITY? Please enter N/A if there is no work telephone number.

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* 13. What is the NAME OF THE SECOND PERSON WITH PARENTAL RESPONSIBILITY? Please enter N/A if there is no second person with parental responsibility.

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* 14. What is the RELATIONSHIP TO THE CHILD OF THE SECOND PERSON WITH PARENTAL RESPONSIBILITY? Please enter N/A if there is no second person with parental responsibility.

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* 15. What is the ADDRESS OF THE SECOND PERSON WITH PARENTAL RESPONSIBILITY?  Please enter N/A if there is no second person with parental responsibility.

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* 16. What is the POSTCODE OF THE ADDRESS OF THE SECOND PERSON WITH PARENTAL RESPONSIBILITY? Please enter N/A if there is no second person with parental responsibility.

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* 17. What is the HOME TELEPHONE NUMBER OF THE SECOND PERSON WITH PARENTAL RESPONSIBILITY? Please enter N/A if there is no landline telephone number or no second person with parental responsibility.

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* 18. What is the MOBILE TELEPHONE NUMBER OF THE SECOND PERSON WITH PARENTAL RESPONSIBILITY?  Please enter N/A if there is no mobile telephone number or no second person with parental responsibility.

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* 19. What is the WORK TELEPHONE NUMBER OF THE SECOND PERSON WITH PARENTAL RESPONSIBILITY? Please enter N/A if there is no work telephone number or no second person with parental responsibility.

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* 20. What E MAIL ADDRESS should Rhodes Avenue Primary School use to communicate with you regarding the outcome of this nursery application?

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* 21. Please list the FULL NAMES OF ANY SIBLINGS WHO WILL BE ATTENDING RHODES AVENUE PRIMARY SCHOOL AT THE TIME OF THE NURSERY ADMISSION IN SEPTEMBER 2020.  Please enter N/A if this does not apply.

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* 22. The school is planning to offer places for 30 hour provision and places for 15 hour provision.  This is subject to change based on demand.  Please select which NURSERY PROVISION you are applying for.  Please select one option only.

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* 23. Please answer this question if you are applying for a full time (30 hours per week term time) nursery place.  Please skip to the next question if you are applying for a part time (15 hours per week term time) nursery place.  
Not all parents are eligible to receive the 30 hours provision for free.  Please check your eligibility by logging onto the following website: www.gov.uk/30-hours-free-childcare.  Parents must apply online for 30 hours.  You must have a valid code by the end of the month before a new term starts and this is a parents' responsibility to ensure this is in place.  You have to reconfirm your eligibility every 3 months. If you apply more than 3 months before the term starts, you’ll have to reconfirm your eligibility in your account in order to keep your code valid.  Parents not eligible for the full 30 hours free provision place will receive the first 15 hours free and will be charged for the additional 15 hours.  The additional charge is £30 per day.

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* 24. Please answer this question if you are applying for a part time (15 hours per week term time) nursery place.  Please skip to the next question if you are applying for a full time (30 hours per week term time) nursery place.  If you would like to apply for the universal 15 hours of free early education and wish your child to take up 15 hours at Rhodes Avenue Primary School please indicate which option you would like.

Option 1: Monday full day (9am-3pm - subject to change), Tuesday full day (9am-3pm - subject to change) + Wednesday morning (9am - 12 noon - subject to change)

Option 2: Wednesday afternoon (12 noon-3pm - subject to change), Thursday full day (9am-3pm - subject to change) and Friday full day (9am-3pm - subject to change).

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* 25. Please indicate whether you will may be requiring any BREAKFAST CLUB sessions for any of the days your child will be attending nursery.  If your nursery application is successful you will then be able to select the days you require.  Our breakfast club operates from 7.40am-9am at a charge of £4.50 (subject to change) per day.

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* 26. Please indicate whether you will may be requiring any AFTER SCHOOL CLUB sessions for any of the days your child will be attending nursery.  If your nursery application is successful you will then be able to select the days you require.  Our After School Club operates from either: 3pm-4.30pm at a charge of £6 (subject to change) per day or 3pm-6pm at a charge of £12 (subject to change) per day.

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* 27. Children attending a full day (9am-3pm - subject to change) will require a lunchtime meal.  Please indicate who will be providing your child's lunchtime meal.

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* 28. Two pieces of evidence are required as proof of address and must be no older than 6 months at the time of the nursery application.  One piece of evidence must be a Council Tax Bill and one piece of evidence must be a utility bill, e.g. electricity, gas or water bill.  Parents should note that childminders' addresses, including private arrangements with family members will not be taken into consideration.  In the event of your child being offered a place further proof of address may be required.  These must be forwarded to us within one week of making this nursery application by e mailing scanned copies to: admissions@rhodes.haringey.sch.uk
Please write your child's full name and date of birth on these
Please confirm that you will be providing the required pieces of evidence with your nursery application.

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* 29. A copy of your child's birth certificate must be forwarded to the school (the school may ask to see your child's original birth certificate at a later date if you receive a nursery offer).  A copy of the birth certificate must be forwarded to us within one week of making this nursery application by e mailing a scanned copy to: admissions@rhodes.haringey.sch.uk
Please confirm that you will be providing a copy of your child's birth certificate as evidence with your nursery application.

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* 30. Please read the following statement:
I, the undersigned as Parent/Carer/Guardian of the child named within this nursery application, declare that the information given in this application and the information I will forward to the school within one week is true, correct and complete.
Please provide the full name of the person making this nursery application and their relationship to the child.

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