ST JOSEPH’S CATHOLIC PRIMARY SCHOOL - NURSERY

Supplementary Information Form 2018-2019
DETAILS OF CHILD /

Cadogan Street

London SW3 2QT

Tel: 020 7589 2438

Child’s First NameSurname

Date of Birth Year Group Applied for:NURSERY

Child’s Address

Postcode

DETAILS OF PARENTS OR CARERS
Title(e.g. Miss, Mrs, Mretc) ___ Surname ______Forename ______

What is your relationship to the child? (e.g. mother/father/carer) ______

Address (If different from child’s address) ______

Postcode ______Telephone No.______

Email ______

DETAILS OF RELIGION

Religion of child:
(Please tick) / Catholic / Other Christian (name of denomination e.g. Methodist) / Other faith
Catholic Parish you live in:
Church where child was baptised and date of baptism: (baptism certificate required)
Name and position of priest supplying CCP or religious leader supplying letter confirming membership of faith community:
(where appropriate)
Names of brothers or sisters at the school who are still attending:
*I would like to apply for a FULL TIME Nursery place for my child and agree to the top-up funding, payable termly in advance (amount to be confirmed), if I am not eligible for 30hr funding.
Signed……………………………………………………………. Dated……………………………………………..
*I would like to apply for a morning only Nursery place for my child and will not be taking up the afternoon place through the top-up funding scheme.
Signed…………………………………………………………… Dated…………………………………………….

I confirm that I have read and understood the Admissions Policy and that the information I have provided is correct. I understand that I must notify the school immediately if there is any change to these details and that should any information I have given prove to be inaccurate that the governors may withdraw any offer of a place even if the child has already started school.

Signed:………………………………………………………………… Date:…………………………………………… P.T.O.

Please note:

  • Where applicable parents can obtain a CCP from the Parish where they practise or from the Diocese of Westminster website at Follow Guidance & Policy Documents, Admissions: Guidance notes and CCP for priests.
  • Applicants from other Christian denominations and other faiths may attach a letter from their minister or religious leader confirming membership of the faith community.

Checklist:

Have you enclosed: Copy of baptism certificate (if applicable)

Certificate of Catholic Practice (if applicable)

Evidence of exceptional need (where appropriate)

The personal information that you provide will be handled in accordance with the Data Protection Act 1998.

Signature of Parent/CarerDate

P:\ADMISSIONS\Admissions 2018-19\SIF Nursery 2018-19.docx