APPLICATION FOR NURSERY PLACE

Our Nursery caters for 3 and 4 year old children who are entitled to free early years
education comprising of fifteen hours a week. Please refer to the Redbridge website
www.redbridge.gov.uk for full details of the admission criteria for Redbridge nursery
places.

Child’s Surname name: ……………………………………………………………………………………

Child’s first name(s): ……………………………………………………………………………………….

Date of birth: …………………………………………………… Girl or Boy 

Address (include postcode): ………………..…………………………………………………………

…………………………………………………………………………………………………………………………

Phone numbers: 1) home: ………………………………………………………………….

2) Mum’s Mobile ……………………………………………………..

3) Dad’s Mobile …………………………………………………………

Are there any brothers or sisters already attending Chadwell Primary School?

YES / NO ?

If yes, please give names: …………………………………………………………………………………

Would you prefer a morning (0900-1200) or afternoon (1245-1545) session?

Please tick: Morning  Afternoon 

 I understand that this is an application and does not guarantee a nursery place for my

child. Signed…………………………………………………………………………..Parent/Carer

We will only contact you by letter if you are successful in gaining a Nursery place
Office use:

Date application received ……….…………………………….… Copy of birth cert/passport taken? ………………………

Initials ………………………..