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Application for Free Nursery Admission



Please complete the form below to apply for admission

 

Ysgol Hen Heol / Old Road School

Pennaeth / Headteacher

Mrs Non Neave

Schoolbanner 

Old Road, Llanelli SA15 3HW Tel 01554 773822

Staff.oldroad@ysgolccc.org.uk

 

Application for Admission to the Cylch Meithrin / Nursery Class

 

Part A. Parent(s)/Guardian(s)/Carer’s information.

 

Surname

Forenames

Parent/Guardian (please specify)

 

 

 

 

 

 

 

Current Address

Previous Address

 

 

 

 

Post Code:

 

Length of time at this address:

Length of time at this address:

Home Tel No:

 

Work Tel No:

 

 

Part B. Pupil Information

 

Name of Child

Male /

Female

Date of

Birth

Present School

Dates Attended

 

 

 

 

 

 

 

Yes / No

Is the child looked after by the Local Authority?

( If Yes, please attach details of the Social Worker, Local Authority and contact details )

 

Is the child subject to a statement of Special Educational Needs?

 

 

The attendance of an older brother or sister

(Please give names and dates of birth of older children)

 

Name

Date of Birth

Name

Date of Birth

 

 

 

 

 

 

 

 

 

 

 

 

Request start date for my child

 

_______________________________________________________

 

 

Signature of Parent/Guardian:                     Date :

 

_______________________________             _______________________

 

Please return this form either to the Headteacher or e-mail to staff.oldroad@ysgolccc.org.uk

 

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