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• Home • Up • Age 5 to 11 • Nursery •
For Nursery applications, print and complete the following form.
AADMISSION
TO A NURSERY CLASS AT
BEATRIX POTTER SCHOOL
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PLEASE
COMPLETE IN BLOCK CAPITALS USING BLACK INK
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1.
Details of Child |
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Surname |
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First Name(s) |
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Date
of Birth |
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Boy
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Girl
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Please
tick
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2. Details of
Parent(s) or Guardian(s) With Whom Child Lives
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(i)
Surname |
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Initials |
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Mr/Mrs/Miss/Ms |
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(i)
Home Tel. No. |
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Work
Tel. No. |
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Relationship to child |
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(ii)
Surname |
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Initials |
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Mr/Mrs/Miss/Ms |
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(ii)
Home Tel. No. |
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Work
Tel. No. |
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Relationship to child |
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Address |
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Postcode |
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Borough of Residence |
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3. Type of place
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Part-time
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Full-time*
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Please
tick
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If
you are requesting a full-time place, are you a single parent in
full-time employment or study? |
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Yes
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No
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Please
tick
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*Please note that the school can only offer a limited number of
full-time places to Wandsworth resident children only. |
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4.
Details of Siblings
attending this school |
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Surname(s) |
First Name(s) |
Date
of Birth |
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5.
Reasons for application |
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If
you wish to give reasons for your application, please use the space
below. |
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If
your child has an acute medical or personal reason for needing a
place at this school, you must tick this box and provide
professionally supported evidence with your application |
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Medical / Social report attached |
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6.
Declaration |
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1. I
understand there is no automatic right of transfer from the nursery
class to the infant reception class at the school. |
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2. I
confirm that the above information is correct to the best of my
knowledge and I understand that the Council or school reserve the
right to reconsider the offer of a place should the information be
incorrect. |
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Signature of Parent |
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Date |
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• Home • Up • Age 5 to 11 • Nursery •
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