Ashbridge Nursery Admissions | Ashbridge Nurseries

Please select a Nursery

Full Name of Child

First

Middle

Last

Date of Birth (DD/MM/YYYY)

Gender

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Additional Address (if child lives in two or more households):

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Name & Age of Siblings

Personal Information

Ethnicity

Please include details of ethnic background and if English is an additional language, please state what is the first spoken language and details of any other languages spoken.

Nationality

Other Information

Medical Information

Name of Childs Doctor

Telephone Number

Doctors Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Details of Medical Condition, Disabilities, Allergies etc*

No special requirements

No special requirements

Dietary Requirements

Are All Immunisations Up To Date

Contact Information

Please include name, address and ALL appropriate telephone numbers (landline & mobile) and email addresses and ensure all contacts consent to their personal details being shared with us.

Parent/Carer 1 Details

Title

Name

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Relationship to Child

Is this Person Legally Responsible For The Child?

Yes
No

Email

Telephone

Place of work

Work Number

Parent/Carer 2 Details

Title

Name

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Relationship to Child

Is this Person Legally Responsible For The Child?

Yes
No

Email

Telephone

Place of work

Work Number

Parent/Carer 3 Details

Title

Name

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Relationship to Child

Is this Person Legally Responsible For The Child?

Yes
No

Email

Telephone

Place of work

Work Number

Designated Bill Payer

or Allergies of

Select Bill Payer

Name

First

Last

Nursery Sessions:

We wish our child to start nursery from

Start Date

I / We wish to be considered for the opportunity of a place at Ashbridge Independent School at the appropriate time:

Yes
No

In applying for a place at our nursery, I/we understand that:

I/we give permission for photos/videos to be taken of my/our child for promotional purposes including printed materials, website, social media and local and national press, whilst attending the nursery or at a later stage.

Yes
No

I/we give permission for photos/videos to be taken of my/our child for use on virtual learning environments D (VLEs) or parent sharing apps and understand that these photos/videos may be visible of other children, such as in group activities or in the background.

Yes
No

I/we have read and understood the contents of the Enrolment Form and the Terms and Conditions provided.

Yes
No

I/we agree to be bound by the Terms and Conditions which consist of this Nursery Enrolment Form, the Terms and Conditions and any of the nursery's policies and procedures which are in place.

Yes
No

I/We confirm that the details set out in this Nursery Enrolment Form are true and accurate in all respects.

Yes
No

Signature (Contact 1)

Clear Signature

Name:

Date

Signature (Contact 2)

Clear Signature

Name:

Date

Previous Nursery/School(s) Attended

How did you hear about us?

Terms

BY SUBMITTING THIS APPLICATION YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS WHICH CAN BE VIEWED HERE AND BY ASHBRIDGE REGULATIONS, POLICIES AND PROCEDURES.

Read Ashbridge School Terms & Conditions on our Policy Page

Understand

I/we agree to be bound by the Terms and Conditions which consist of this Nursery Enrolment Form, the Terms and Conditions and any of the nursery’s policies and procedures which are in place.

Day Nurseries Admissions

Personal Information

Medical Information

Contact Information

Parent/Carer 1 Details

Parent/Carer 2 Details

Parent/Carer 3 Details

Designated Bill Payer

When do you want to start & what days you would like your child to attend

Nursery Sessions: