Pre School Expression of Interest Form

Your first name *

Your last name *

Your email *

Name of Child

Child's Date of Birth

Contact number

Address

Nursery starting term :

September

January

Easter

Nursery starting year :

(Starting date will be the term following his/her 3rd birthday)

2026

2027

2028

Date request placed

Siblings in school

Does your child have any Special Educational needs? (eg agencies such as Portage/Speech & Language) *

Family circumstances : please tell us if there is anything we should be aware of (e.g. if your child is fostered/adopted/shared care etc)

Please choose one option (see below)

Option 1

Option 2

Option 3

Option 4

Option 5

Option 6

Option 7