| Childs Name |
|
| Gender |
Male
Female
|
| Date of Birth |
|
| Home Address |
|
| Postcode |
|
| Email |
|
| Telephone Number |
|
| Mobile Number |
|
| Work Number |
|
| Parent/guardian Name |
|
| Parents Address |
|
| 1st Language |
|
| Culture/Religion |
|
| Special Dietary Requirements |
|
| How did you hear about the Nursery |
|
| |
|
| Please tick appropriate section |
Are you registered disabled, Long term unemployed, ,Homeless/Refugee status, Have a long term chronic illness which leaves you unable to work, do you have social services support - residing in Camden, |
Means tested Receiving benefits , Student, Living in poor housing . Very low income. |
Yes
No
|
| |
| Do you qualify for Working Families Childcare Tax Credit |
Yes
No
|
|
| Standard Fees for child aged 2/3years 3mths residing in Camden |
Yes
|
| |
| Standard fees for child aged 3/3mths -5yrs residing in Camden |
Yes
|
|
| Full fees non-resident in Camden child aged 2-3/3mths |
Yes
|
| |
| Full fees none-resident in Camden child aged 3/3mths -5 yrs |
Yes
|
Are there any special circumstances why your child should be offered a place , please attach any relevant information , which would help us make an informed decision . If this is confidential or you need help with your application the Organiser will be happy to assist. Collingham Gardens is developing its equal opportunities policies , selection are based on the above criteria working within the Admissions policy . A more detailed explanation is available from the Organiser. |
|
Our community nursery thrives from joint working partnership with our parents , our expectation is this would continue if a place was offered .Children who are enrolled into this unique environment will establish friendships , with emphasis on children's emotional well being within a strong Educational curriculum .We would expect your child to stay until they are 4 1/2 yrs olds as continuity is vital for the nurseries stability.
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