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THE FEDERATION
Maidenhead Nursery School
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Admissions Form
Child's First Name
*
Child's Surname
*
Child's Date of Birth
Child's Gender
*
Boy
Girl
Preferred Session
*
Afternoon
Morning
Either
30 Hrs
Please be aware we are unable to guarantee your preference
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
Does your child currently attend a pre school ?
*
Yes
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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