Application Form

Applying for (please tick):

Pre-Nursery
Nursery
School

If applying for school, please specify year group

Desired date of entry *

Child’s forenames *

Surname *

Male/Female *

Male
Female

Child’s home address *

Child’s date of birth *

Child’s nationality *

Child’s religion *

Telephone *

First language / languages spoken at home * Ethnicity *

Any siblings currently at Norfolk House?

If applying for Pre-Nursery, please indicate the mornings you would like your child to attend (drop off is between 8.20 and 8.40am and collection is at 3pm (subject to availability).

Monday
Tuesday
Wednesday
Thursday
Friday

Parent 1 details

Forename * Surname * Occupation * Work address * Work phone * Mobile * Email *

Parent 2 details

Forename * Surname * Occupation * Work address * Work phone * Mobile * Email *

If other, please state here

Name and Emergency telephone number of a relative / friend if parents cannot be contacted: *

Please confirm the marital status of parent 1 and parent 2:

If separated, who does the child normally live with?

Parent 1
Parent 2

Are there any legal arrangements which restrict parental access? * (If Yes, please provide details in a covering letter)

Yes
No

Does your child have any special needs? *

Does your child have any medical problems or allergies? *

Names and dates of birth of other children:

Do you have any friends or relatives in the school? If so, who?

Name and address of previous school / nursery / playgroup: *

Reason for leaving current educational setting *

Name and address of Doctor: *

How did you hear about the school? *

Other

Intended future school(s)

Please ensure you are submitting your Application Form alongside a fee of £75 via bank transfer. Please use your child/children's name(s) name as the reference. Bank: Barclays Bank Account Name: Norfolk House School and Montessori House Limited Account Number: 83594114 Sort Code: 20-58-69.

The information you are about to submit will be used to effectively handle your enquiry in accordance with the School's admissions process. This may include email, phone and postal correspondence.We promise to treat your personal details with the utmost care and will never share or sell your data to third parties.

Please enter your full name as confirmation * I am happy for my data to be processed. *

I would like to receive occasional high quality, relevant and timely emails providing details of upcoming events and insight into school life. After opting in, you can withdraw your consent at any time. To do so, please contact the School Office. Alternatively, the marketing emails will provide an unsubscribe option.

Parent 1 details

Parent 2 details

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