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THE FEDERATION
Cookham Nursery School
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Registration Form
Child's First Name
*
Child's Surname
*
Child's Date of Birth
*
Child's Gender
*
Boy
Girl
Current Address
*
Postcode
*
Home Language
*
Religion
Ethnic Origin
Home Telephone Number
*
Name of Mother/ Guardian
Mobile telephone number
Name of Father/Guardian
Mobile Telephone Number
Email address
Names and ages of children who have attended or are attending this Nursery
How did you find out about Cookham Nursery School?
Does your child currently attend a pre school ?
*
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No
If you answered yes to the above question, please give details
Does your Child have special needs?
*
Yes
No
If you answered yes to the above question, please give details
Name
*
Date
*
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