APN - Aberdeen Park Nursery



143 Highbury New Park, Islington N5 2LJ. Tel: 0207-226 2610

ADMISSIONS FORM

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|Child’s name: |

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|DOB: |

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|Boy/Girl/Twins: |

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|Ethnic Origin: |

|Parent’s/Carer’s details |

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|Forenames: |

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|Surnames: |

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|Address: Borough: |

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|Contact Numbers: Email: |

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|For Islington residents |

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|Fee Bands for over 2’s (please tick which applies to your household income) (1) up to £24,999 |

|(2) £25,000-£30,999 (3) £31,000-£39,999 (4) £40,000-£49,999 (5) £50,000-£59,999 |

|(6) £60,000-£69’999 (7) £70’000-£79’999(8) £80’000-£89’999(9)£90’000-£99’999 |

|(10) £1000’000-£120’000(11) £120’000+ (*) Out of Borough Marketed |

|Student grant. Eligible for free early learning, (.uk/freeearlylearning) |

|Eligible for 15/30hrs free entitlement. |

|Do you require a full–time or part–time place? (please tick) When do you require a place from? |

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|2 days______ 3 days______ 4 days______ 5 days______ |

|How did you hear about us? |

|Do you have any concerns regarding your child’s development? (e.g. hearing, speech) yes/no |

|Do you have an EHCP in place? Does your child have Special educational needs and/or Disabilities yes / no Are you applying for|

|a (*) Marketed place yes/no |

|Signature: Date: |

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