St Michaels - Nursery Registration Form

Step 1

Nursery Registration Form
Please complete this form with as much information as possible, as it will help us process your child's registration smoothly.

Fields marked with an * are mandatory. If these sections are not completed in full, it may delay the processing of your registration or prevent us from progressing your application.

If you have any questions while completing the form, please do not hesitate to get in touch – we will be happy to help.
Your child
Child's Name

First names* Surname*
Preferred Name / Known As (if different from First names)
Date of birth*
Gender

Female Male Prefer not to say
Nationality
Proposed month and year of entry*
All Year or term time only provision

All Year Term time only
Preferred sessions* (please tick)
Please note:
1) We require you to select a minimum of 3 sessions for Pre-Nursery and 5 sessions for Nursery sessions per week.
2) We apply the 15 government funded hours to 9.00am-12.00pm each day of the week. For further details about those eligible to receive 30 hours of government funding, please contact our Admissions.
Monday Tuesday Wednesday Thursday Friday

Morning
(8.30am – 1.00pm)

Afternoon
(1.00pm – 3.30pm)
If you require extended hours please tick below.
Monday Tuesday Wednesday Thursday Friday

Extended Morning
(7.30am – 8.30am)

Extended Afternoon
(3.30pm – 6.00pm)
For your privacy, this saves data locally on this device. Do not use on a public or shared computer.

First signatory
Title* (e.g. Mr, Mrs, Ms)
Full name*
Relationship to child*
Job title
Employer name
Contact telephone number*
Evening (if different)
Mobile (if different)
Email address*
Address* (including postcode)
For your privacy, this saves data locally on this device. Do not use on a public or shared computer.

Add a second signatory?*

Yes No
Second signatory
Title* (e.g. Mr, Mrs, Ms)
Full name*
Relationship to child*
Job title
Employer name
Contact telephone number*
Evening (if different)
Mobile (if different)
Email address*
Address* (including postcode)
Please confirm with which signatory the child normally lives*
(to be completed only if the first and second signatories live at different addresses)

First signatory Second signatory Lives with both signatories

Please see our Separation Policy on our website if required.
For your privacy, this saves data locally on this device. Do not use on a public or shared computer.

Other people with parental responsibility*

Please provide the name(s) and current address(es) of any other person with parental responsibility (i.e. legal responsibility) for the above named child. Their consent to the child attending the Nursery will be required if an offer of a place is made.
Title
Full name
Address (including postcode)
If someone other than the first and second signatories is to pay fees or any other sums due to the School in respect of the child, please provide below their full name and address and their relationship to your child.
Title
Full name
Address (including postcode)
Relationship to child
For your privacy, this saves data locally on this device. Do not use on a public or shared computer.

Connections with the Nursery
Please mention here the names of any other members of the family attending the Nursery or registered for entry, or any other connection with the Nursery or St Michael's School.
Please indicate how you first heard of the Nursery

Local reputation Website Present nursery Social media Friends
Advertisement Other
Confidential Information Form

All information received in this form will be treated in confidence.
Please complete the attached Confidential Information Form if applicable, in order to assist us with making any special arrangements which are required for Nursery visits and / or entrance assessments*
Child's full name
Name of first signatory (as appears on the registration form)
Name of second signatory (as appears on the registration form)
Please disclose any medical condition, health problem or allergy affecting your child.

It will also help us plan for your child's arrival, if you can let us know of any of the following, if applicable to your child:
- learning difficulty
- special educational need
- disability
- behavioural, emotional and / or social difficulty
The information provided in this form will enable the Nursery to consider any special arrangements that it may need to make to assist your child to partake in the Nursery's admissions procedure and later if they are offered a place and subsequently enter the Nursery.

Please provide us with as much detail as possible in the space below. Where possible, please also provide any relevant documentation such as medical reports, assessments etc.
Notes & Declaration
Early registration is recommended. Registrations will be considered in the order they are received. Offers of places are subject to availability and the admission requirements of the Nursery at the time offers are made. Please see our Admissions Policy for further details. Please read our Terms and Conditions before submitting this registration.

How we will use the information provided in this form

This information will be used by the Nursery during the admissions process.
For example:
- we may contact other people with parental responsibility to check that they consent to your child joining the Nursery;
- the Confidential Information Form will be used to ensure that we have made any reasonable adjustments / suitable arrangements for your child when they visit the Nursery or during any entrance assessments and subsequently if they are offered a place;
- we may share your information with credit reference agencies and risk management agencies for the purposes of credit and 'Know Your Customer' checks.
If your child is not offered a place, or if you do not accept the offer of a place, we will only retain this information for as long as we need to. Unless there are exceptional circumstances, information is kept for a year after the end of the admissions process.

If your child joins the Nursery we will use the information on this form in accordance with our privacy notices for pupils and parents. Both of these documents are published on the Nursery's website.

Prior to the commencement of the admissions process, we will contact you about any special arrangements your child may require. The information requested on this form is needed because the Nursery has contractual and statutory duties towards your child. For more information about how the Nursery will use your information and your child's information, please see our privacy notice. This document is published on the School and Nursery's website: PRIVACY NOTICE - Parents amd PRIVACY NOTICE - Pupils.

Once you submit this form, each signatory (including a second signatory if you add one) will be emailed their own secure link to review the details and add their signature independently. The registration is only complete once every required signatory has done so.
I consent to St Michael’s Nursery processing my data as outlined in the Privacy Notice.
For your privacy, this saves data locally on this device. Do not use on a public or shared computer.

Check your email
For security, each signatory must confirm their own email address before the registration is complete. We'll email you (and the second signatory, if you added one) a secure link to review the details and add your signature.
⏳ Saving your registration, please wait...
There was a problem saving your registration.

Please try again or contact the school directly.
✓ Registration Saved
We've emailed you a secure link to review the details and add your signature.

The second signatory has also been sent their own link, and must complete their part independently.

	Monday	Tuesday	Wednesday	Thursday	Friday
Extended Morning (7.30am – 8.30am)
Extended Afternoon (3.30pm – 6.00pm)

Nursery Registration Form

Your child

Preferred sessions* (please tick)

First signatory

Second signatory

Other people with parental responsibility*

If someone other than the first and second signatories is to pay fees or any other sums due to the School in respect of the child, please provide below their full name and address and their relationship to your child.

Connections with the Nursery

Confidential Information Form

Notes & Declaration

How we will use the information provided in this form

Check your email