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Primary school

For children born between 01/09/2015 - 31/08/2016

Closing Date 15th March 2019 5pm.

Applications received after this time are welcome but will be considered as late.

Please fill out your child's details below. Please check there is a captcha code at the bottom before completing.

Select one of the following*
Special Education Needs (EHCP or Statement of educational Needs)*
Children in Public Care*
Social/Medical Need*

Please read carefully.


Children allocated 30 hours will attend 8:45 – 3:30 TERM TIME ONLY.

Home packed lunch to be provided.

The school only offer 30 x 30 hour places. Admissions criteria will apply if oversubscribed.

If not allocated a 30 hour place will you accept a 15 hour place?*
Would you like a paid for up to 30 hours allocation as you are not entitled to the free HMRC 30 hours?*

IF ELIGIBLE, A HMRC CODE MUST BE PROVIDED BEFORE 5th July 2018. - Pupils cannot be admitted for Free 30 hours childcare without this code as proof of eligibility and until the code can be verified by the school. If you do not provide a HMCR code, you agree to pay the charge of *£5.50 per hour (*£82.50 per week payable in advance).

As above - you agree to pay the charge of *£5.50 per hour*

15 Hours
Children allocated 15 hours will be expected to attend either 5 MORNING SESSIONS (8:45 - 11:45) or 5 AFTERNOON SESSIONS (12:30 - 3:30)

Session Preference*

If entitled to HRMC 30 hours but wish to split with another setting or childminder please add details of the provider below.

The school needs information about all adults that have parental responsibility for your child.



The information I have given on this form is complete and accurate. I understand that my personal information will be held securely and will be used only for local authority purposes.
I agree to Longmeadow Primary School using this information to consider my application for a nursery place. I understand that if any part of this completed application form is found false the offer of a place will be withdrawn.
I understand that the completion of an application form does not guarantee a place in the nursery class.
I understand that, if offered a place in the nursery class, I will have to apply separately for a place in Reception.
If applying for a 30 hour session I agree to provide the HMRC code no later than the 6th July 2018.
If I do not provide a HMCR code, I agree to pay the charge of *£5.50 per hour (*£82.50 per week payable in advance).
*Prices subject to change.

Have you read and understood the declaration above?*

Please type the letters and numbers displayed in the image into the textbox below to verify you wish to send this response. If you have difficulties reading the letters in the image below you can try a different image by clicking on it.

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