Nursery Registration Form

Date of Entry (e.g. May 2021)*

Child’s Information

Full Name (as on birth certificate)* Name Known By (if different)

Gender*MaleFemale

Date of Birth / Due Date* Nationality* Religion* Address 1* Address 2 Town* Postcode* First Language* Second Language (if applicable)

Parent Information

Parent 1 Full Name* Address (if different from child’s) Home Telephone Number Work Telephone Number Mobile Telephone Number* Email* Parent 1 Occupation Parent 2 Full Name* Address (if different from child’s) Home Telephone Number Work Telephone Number Mobile Telephone Number* Email* Parent 2 Occupation

Do both parents have parental responsibility for the applicant? (If no, please give further details below)*YesNo

If you answered (No) please provide more details below.

Emergency Contact Information (in absence of parents)

Name* Relationship to Child* Address* Home Telephone Number* Work Telephone Number Mobile Telephone Number* Email*

Sessions Required

Please indicate if you require*Full Time (50 weeks a year)Term Time Only

Do you wish to reserve a place in Reception? An additional £250.00 non-refundable registration fee is payable, which will be credited back to you against your child's first term's fees in the Reception class*YesNo

Previous Childcare or Education

Current Childcare or Education Date of Entry Address Person in Charge Telephone Number Where did you hear about St Gabriel’s?*

Medical Information

Doctor* Telephone Number* Surgery Address*

Disclosures

Please tick below if any of the following circumstances apply to this application:The child has any known medical condition or health problemThe parents are separated or divorcedThere are any Court Orders in relation to the childThere are any Court Orders in relation to either parentThe child may be unable to play a full part in the sporting curriculum of the nurseryThe child has been dismissed or removed from a school for misconduct

Further Information

Notes

· Registration does not commit the Nursery or the parents to an offer of a place
· Offers of places are made subject to availability
· Early registration is recommended: registrations are considered in the order received
· Parents should read the accompanying standard Terms & Conditions before signing
· Registration is subject to a non returnable fee of £75.00
· The registration fee may be paid by debit card over the phone or by bank transfer, using your child's name as your reference. Account Name: St Gabriel's School Foundation. Account Number: 65326369. Sort Code: 60-15-07. Bank: NatWest, Market Place, Newbury
· A copy of the birth certificate or the biometric page of the applicant’s passport will be emailed to admissions@stgabriels.co.uk

Registration Fee

The Nursery / Nursery & Junior School registration fee will be paid by*Bank Transfer. St Gabriel's bank details may be found on the Registration Form page of the websiteDebit Card. Please contact the Finance Office to make paymentA cheque will be put in the post

Parent Declaration

I / we the parents / guardians of*

request that she/he be registered as a prospective pupil of St Gabriel’s. We understand that the standard Terms & Conditions will undergo reasonable changes from time to time as circumstances require, and will apply in all our dealings with the school.

Agreed by*Parent 1Parent 2

St Gabriel’s

Nursery Registration Form

Child’s Information

Parent Information

Emergency Contact Information (in absence of parents)

Sessions Required

Previous Childcare or Education

Medical Information

Disclosures

Notes

Registration Fee

Parent Declaration

Nursery Registration Form

Nursery Registration Form

Junior, Senior & Sixth Form Registration Form

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