Application Form

Parents/carers may register their child's name during the academic year of the child's first birthday (1 September to 31 August).

Please click the link on the right to register online or download the form below which should be completed and returned to the school office.

Child's First Name* Child's Surname* Child's Date of Birth*

Child's Gender*BoyGirl

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 ?*YesNo

If you answered yes to the above question, please give details

Does your Child have special needs?*YesNo

If you answered yes to the above question, please give details Name* Date* Please provide a photograph or copy of your child's birth certificate.