EP Collier Applicaiton Form
EP Collier Applicaiton Form
EP Collier Applicaiton Form
This is an application for a place in the Nursery Class only and a Reading Borough Council
application form must be completed for a full-time place in the school.
Application for a place at
E P COLLIER PRIMARY (NURSERY)
To start Nursery in? September 2017 January 2018 April 2018
Please tick the box
Child’s Details
Child’s Surname:
Child’s Forename(s):
Child’s Date of Birth: Child’s Gender: (Put M for male or F for
female)
Child’s Home Address:
Parent/carer declaration:
I declare that the information I have given on this form is correct.
I understand school reserves the right to verify the information given on this form and
that any offer of a place will be on the basis that the information supplied is correct and
up to date.
Name:
Signed: Date: