Cippenham Nursery School

Registration Form

Please note: We are only able to offer a place if we have spaces available.

Registration Form

Please fill out the form below to register with Cippenham Nursery

Child's First Name

Child's Last Name

Child's Gender

Child's DOB

If applicable, please tell us when your child arrived in this country:

Which funding are you looking for?

Please tick which session you would prefer at Cippenham Nursery

Full Adress

Postcode

Mother's Full Name

Mother's Contact Number

Mother's Email

Father's Full Name

Father's Contact Number

Father's Email

Does the child have any siblings?

Have any siblings attended Cippenham Nursery School?

Siblings DOB & School Attending

Does your child have a Child Protection Plan?

Languages spoken by child

Languages spoken by parents

Does your child attend any other childcare provision? Please name (example: Childminder, Nursery Class, Private Nursery, Day Nursery, Pre-School, Nursery School).

Does your child have any of the following? Allergies, Hearing / Eyesight Problems, Speech and Language Difficulties, Other Healh Problems

Is there anything you think we need to know about your child or family (e.g. family setup, additional needs)? Please provide details.

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Cippenham Nursery School

Registration Form

Registration Form

Cippenham Nursery School

Our use of cookies

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