Registration Form

About Your Child

If you have more than one child that you would like to attend the nursery, please complete a separate form for each child. Thank you.

Child's First Name(*)

Please let us know your child's first name.

Child's Middle Name

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Child's Last Name(*)

Please let us know your child's last name.

Child's preferred name

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Child's Gender(*)

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Child's DOB(*)

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Child's Religion(*)

Please let us know your child's Religion.

Ethnic Origin(*)

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Important Information

Primary Language(*)

Please let us know your child's Primary Language

Secondary Language

Please let us know your child's Secondary Language

Medical Information

GP's contact Details

GP Name(*)

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Surgery Name(*)

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Address line 1(*)

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Address line 2

Address line 3

City/Town(*)

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Postcode(*)

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GP Contact Number(*)

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Email address

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Does your child have any medical conditions?(*)

Yes (please provide details below)

No

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Medical Details

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Allergies(*)

Yes (please provide details below)

No

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Allergy Details

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Dietary Requirements(*)

None

Vegetarian

Vegan

Other (please provide details below)

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Diet Details

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Does your child have any special educational needs?(*)

Yes

No

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Including physical impairments and/or learning difficulties. (There will be an additional area to discuss further funding/support your child receives).

SEN Details

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Is your child receiving support from any other agencies? (*)

Please confirm if child recieves additional financial or learning support

e.g. social services, GP or health visitor? Or any additional financial support?

Please give details of support

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Session Requirements

Click here for more information

Required Start Date(*)

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Contact 1 Details

First Name(*)

Please enter Contact 1's First Name

Last Name(*)

Please provide Contact 1's Last Name

Relationship to Child(*)

Please provide relationship to child

Occupation(*)

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Mobile Phone Number(*)

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Work Phone Number(*)

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Home Phone Number

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Email address(*)

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Please confirm email address(*)

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Secret Word / Password(*)

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You can provide a family password to be given by another person (other than the primary/secondary contact) when picking up your child.

Contact 1 Address

Address line 1(*)

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Address line 2

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Address line 3

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City/Town(*)

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Postcode(*)

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Contact 2 Details

First Name(*)

Please enter Contact 2's First Name

Last Name(*)

Please provide Contact 2's Last Name

Relationship to Child(*)

Please provide relationship to child

Occupation(*)

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Mobile Phone Number(*)

Invalid Input

Work Phone Number(*)

Invalid Input

Home Phone Number

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Email address(*)

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Please confirm email address(*)

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Secret Word / Password(*)

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You can provide a family password to be given by another person (other than the primary/secondary contact) when picking up your child.

Contact 2 Address

Address line 1(*)

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Address line 2

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Address line 3

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City/Town(*)

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Postcode(*)

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Registration

Click Here for more information on Sessions and Fees

I will be claiming government funded entitlement sessions:(*)

No

15 hours

30 hours

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Please indicate where you found out about us

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Declaration(*)

I declare that the information included in this registration form is accurate, and that I will inform Burgh Wood Montessori Nursery School of any changes to the primary and secondary contact names and/or details included in this registration form. Please confirm you have read and agreed to our T&Cs

Form Completed by:(*)

Contact 1

Contact 2

Please confirm who has completed this form

About Your Child

If you have more than one child that you would like to attend the nursery, please complete a separate form for each child. Thank you.

Important Information

Medical Information

GP's contact Details

Session Requirements

Click here for more information

Contact 1 Details

Contact 1 Address

Contact 2 Details

Contact 2 Address

Registration

Click Here for more information on Sessions and Fees

We have been awarded an
OUTSTANDING Rating by Ofsted!

We are excited and incredibly proud to announce that we received an:

Outstanding Rating from our recent Ofsted inspection in July 2024,

with the inspector stating:

“Leaders and staff place children firmly at the centre of their exemplary setting”.