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THE FEDERATION
Cookham
Nursery
School
Maidenhead
Nursery
School
The Lawns
Nursery
School
Windsor
Cookham Nursery School
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Application Form
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THE FEDERATION
Cookham Nursery School
Contact Us
Application Form
Application Form
Child's Full Name
*
Child's Date of Birth
*
Child's Gender
*
Male
Female
Child's Address (Please include Postcode)
*
Parent's Full Name
*
Parent's Mobile Telephone Number
*
Parent's email address
*
Funding eligibility
*
2 year old working family funding
2 year RBWM funding with a letter
2 year self funded
3 year old 15 hours funding
3 year old 30 hours funding
3 year old self funded
Please select your preferred sessions
*
Morning Sessions (8.45am-11.45am)
Afternoon Sessions (12.30pm-3.30pm)
2.5 days Monday and Tuesday all day and Wednesday 8.45am-11.45am (Lunch club fee £4 per day)
2.5 days Wednesday 12.30pm-3.30pm, Thursday and Friday all day (Lunch club fee £4 per day)
30 Hours funding
Does your child currently attend a pre school? If so, please give the details below:
*
Does your child have special needs?
*
Yes
No
If you answered yes, please give details below
Has your child had their progress check at age 2?
*
Yes
No
Not applicable if child is under 2 at the time of registration
Who completed the 2 year check?
*
Nursery
Health Visitor
Not applicable
Are there any professionals involved in your child's development? If so please complete below:
*
Health Visitor
Speech and Language Therapist
Occupational / Physiotherapist
Social Worker
Educational Psychologist
Paediatrician
Audiology
Optometrist
None
Please give us more information about your child's milestones where applicable, my child can:
*
Walk
Say a 2 word phrase together
Understand if you ask them a simple question
None of the above
Is there anything else that you feel we need to know about your child to support their development at Nursery?
*
Submit