Admission Form

Application for Admission to Harris Nursery Hub - Peckham

(NB - if your child is admitted to the Nursery, they will not automatically be offered a place in Reception Year at Harris Primary Academy Peckham Park or Harris Free School Peckham)

PLEASE DO NOT COMPLETE THIS FORM IF YOU ARE APPLYING FOR A PLACE IN A RECEPTION CLASS
If you would like a physical copy of the application form, please contact us via email: info@harrisnurseryhubpeckham.org.uk
Child's details (all names must be legal names, not preferred names)
Forename(s)*
Surname*
Date of birth*
Home address (as defined in the Nursery Admission Policy - supporting documentary evidence may be required)*
Postcode*
Parent's details
Full Name*
Contact email address*
Contact telephone number*
National Insurance Number*
Parent eligibility (please refer to the Nursery Admission Policy for full details of the eligibility criteria, indicate the category that applies by ticking the relevant box below):
Is your child eligible for the 30 hours government funding?*
If yes please enter you eligibility code
Are you applying for a 15 hours government funded place?
Information required to apply oversubscription criteria (please select the appropriate option):
Category 1
Does the child have a sibling (as defined by the Nursery Admission Policy) at Harris Primary Academy Peckham Park or Harris Free School Peckham who will still be on the roll at the time of admission of the applicant child to the Nursery?*
If the answer to the above question is 'Yes', please complete the questions below.
Full legal name of sibling
Date of birth of sibling
Which academy does the sibling attend ?
DECLARATION:

I confirm that the information provided in this application form is true to the best of my knowledge and belief. I understand that, if I have provided false or fraudulent information, any offer of a place will be withdrawn.
Further information about how Harris Nursery Hub Peckham uses information obtained from you about you and your child can be found in its privacy notices which are accessible 'here'

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Admission Form

Application for Admission to Harris Nursery Hub - Peckham

Child's details (all names must be legal names, not preferred names)

Parent's details

Parent eligibility (please refer to the Nursery Admission Policy for full details of the eligibility criteria, indicate the category that applies by ticking the relevant box below):

Information required to apply oversubscription criteria (please select the appropriate option):

Category 1

DECLARATION:

Apply Online

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