Pupil Expression of Interest

Reception - Year 6

Please complete the following form if you are interested in an in year admission place for Reception – Y6

Nursery Places

Please complete the following form if you are interested in Surrey Square Nursery places for your child/children.

Parent/Guardian details

Your name *

First

Last

Your phone number *

Your Email address *

Your address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Child's details

Child's name *

First

Last

Child's date of birth *

Child's sex *

Application options

We are interested in *

2 - 3 year old places

Some families are entitled to free provision from the start of the term after the child has turned 2.
There are 2 different schemes. Find out more information:
Southwark Early Years Entitlement
Childcare Choices - How to apply for childcare help as working parents

Are you entitled to free 2 year old provision?

3 - 4 year old places

All children are entitled to 15 hours provision from the start of the term after the child has turned 3.
Some families are entitied to 30 hours free provision from the start of the term after the child has turned 3.
Apply at the following website:
Childcare Choices - How to apply for childcare help as working parents

Are you entitled to free 30 hours provision?

Please provide any further information about the place you would like.

When do you want the place for? *

Siblings

Does your child have any siblings who already attend Surrey Square Primary School? *

birth your code

'Looked after child'

Is your child a 'Looked after child'? *

If the child is currently 'Looked After' please provide a letter on headed paper from the local authority in England where the child is currently 'Looked After'.If the child was 'Previously Looked After' by a Local Authority, please provide a copy of the relevant court order under English law such as an adoption order, a child arrangement order or a special guardianship order.'Previously Looked After' children include those children who have been in state care outside of England and ceased to be in state care as a result of being adopted. If this applies to your child, please provide evidence of this.