Join The Acorn | London Nursery | The Acorn Nursery School

Child’s (as shown on child’s passport)

First

Last

Email

Child's Date Of Birth

Multiple Choice

Boy
Girl

Nationality

Religion

Proposed date of entry

Year/class

Current school/nursery

Are you aware of any special medical or educational needs?

If yes, please attach any relevant reports or give details separately

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Names of current/ex-Acorn or NHP siblings, if applicable.

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Parent/Guardian Details:

Title

Name

First

Last

Address (if different from child’s home address)

Address Line 1

Address Line 2

City

State

Zip Code

Daytime telephone

Mobile telephone

Email

Occupation

Are you a Sole Parent / Guardian

Yes
No

Parent or Guardian 2

Title

Name

First

Last

Address (if different from child’s home address)

Address Line 1

Address Line 2

City

State

Zip Code

Daytime telephone

Mobile telephone

Email

Occupation

If you have parental responsibility for the child in a capacity other than as a parent of the child, please state your relationship here.

How did you hear The Acorn Nursery School?

I/we agree to the terms and conditions of this registration.

I/we agree to the terms and conditions of this registration.

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