Nursery Application Form Please Note: Ensure you have read the Nursery Place Application FAQs prior to completing this form.Child's DetailsChild's Name* First Last Child's Gender* Female Male UnspecifiedChild's Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child's Permanent Address*Proof will be required. Please inform us immediately if you change your address Street Address Address Line 2 City Postcode Does the child have a sibling at Kilmorie School? (or future admission)* No YesSibling Name, Year and ClassFull NameYearClass Parent/Carer's DetailsName of Parent/Carer* First Last Email* Enter Email Confirm Email Relationship to Child*Home PhoneParent/Carer Address* Same as Child's Permanent Address Different to Child's Permanent AddressParent/Carer Address* Street Address Address Line 2 City Postcode Supporting Information (optional)Please provide supporting information for this Nursery place if for a particular medical or social reason. Please provide evidence as appropriate.Important Admission InformationCurrently in England all children aged 3 and 4 years old are entitled to 15 hours of free childcare in an early years setting. From September 2017, households with 2 working parents/carers and working lone parents/carers may be eligible to receive an additional 15 hours childcare.At Kilmorie, we offer some full time places (8.45-3.30) and some part time places (Separate morning - 8.45-11.45 or afternoon - 12.30-3.30). There is a three term minimum attendance required.Full time places (30 hour entitlement) will incur a small supplement to cover the cost of staff time during the lunch period.Children who attend part time (15 hour entitlement) will be given either a morning place or an afternoon place. Sessions cannot be swopped or interchanged.Children are expected to attend Monday to Friday. No exceptions can be made.Children are admitted the term after their 3rd birthday.We have a limited number of places for 2 year olds in receipt of a letter of eligibility from Lewisham Council.We do not offer places on a first come first served basis. We will use the following criteria when determining admissions:Children in public careChildren with a social or medical needChildren with an older sibling attending Kilmorie Primary SchoolDistance from home to schoolA place at our Nursery does not guarantee a place within our reception class. Admissions into Reception will be managed by Lewisham Council and the criteria published in the 'Starting School' guidance will be used.I would like my child to be considered for:*For information on eligibility please see this resource at the Childcare Choices website. A part time place (15 hour entitlement) A full time place (30 hour entitlement). I understand that I need to prove eligibility. A 2 year old place (part time only). I attach a letter of eligibility from Lewisham Council.File UploadPlease upload your Letter of Eligibility below (jpg, gif, png, pdf, doc, docx formats allowed. 20Mb maximum file size).Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 20 MB.Declaration*I have read the Important Admissions Information above and certify that and certify that all the information I have provided is true and complete. I understand that supplying false information may result in the place being withdrawn. I consent to the information provided above being stored and processed by Kilmorie Primary School, in accordance with our Privacy Policy, in order to provide the nursery place service. I confirm the above statement I do not confirm the above statementSignatureCAPTCHACommentsThis field is for validation purposes and should be left unchanged.Δ