Primary School Application Form Nursery

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SHARPLES PRIMARY SCHOOL
APPLICATION FORM
NURSERY
Child’s Surname: _______________________________________
Child’s First/Other Names: _______________________________________
Male/Female: _______________________________________
Date of Birth: _______________________________________
Address of Child: _______________________________________
_______________________________________
Post Code: ____________ Tel No: __________________
Does the child have any special needs (including allergies) which the school needs to
(Please delete)…
be aware of?
YES / NO
(If yes, please give brief details): ______________________________________
Any Siblings in School : _______________________________________
Date of Birth: _______________________________________
School attended if any: _______________________________________
Which school do you wish your child to attend after Sharples Nursery?
Signed: __________________ Date: ______________
…………………………………………..……………………………………………….………………………………………………………
We acknowledge receipt of your application for your child’s name to be placed on
the Nursery waiting list.
Child’s Name: __________________ Date: ______________
Signed on behalf of School: _______________________________________
Sharples Primary School, Hugh Lupus Street, Ashworth Lane, Bolton. BL1 8RX, Tel: 01204 333077
E-mail: office@sharples-pri.bolton.sch.uk, Headteacher: Mr A W Hemmings

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