minihome, 14 Allen Rd, N16

Waiting list registration form

Please note that registration does not guarantee an offer of a place.

See our admission policy for details.

Child information

First name / Sex male / female
Surname / Days required
please circle your preference and write in the approximate drop off and pick up times
Date of birth / day / arrive / leave
Preferred start date / Mon
Age at start date / Tue
Child’s postcode / Wed
Please describe any special needs your child has / Thu
Fri
Total hours per week
If you are flexible over which days you require this may increase the chances of a place becoming available for your child. Use the space below to tell us about any flexibility you may have in your requirements.
Parents / carers detailsplease circle as applicable
First name / First name
Surname / Surname
Sex / Male / female / Sex / Male / female
Telephone / Telephone
Home / Home
Work / Work
Mobile / Mobile
Address / Address
Postcode / Postcode
email / email
I enclose my £10 registration fee
Please circle as applicable / Cash / Cheque
Please enter date here
Date this form was completed by you

We are required by the Learning Trust to collect the following data if you are prepared to supply it.

Please answer the following questions by circling either Y/N / Please tick or state your child’s religion / Please state your child’s first language:
Do either you or your partner work more than 16 hours per week? / Y / Buddhist / Sikh
N / Christian / No religion
Are you or your partner in education? / Y / Hindu / Other, please state
N / Jewish
Are you a lone parent household? / Y / Orthodox Jewish
N / Muslim

Ethnicity

Please tick one option

white / mixed / asian or asian british / black or black british / others
WENG / White english / MWBC / White and black carribean / AIND / Indian / BCRB / Carribean / CHNE / Chinese
WSCO / Scottish / MWBA / White and black african / APKN / Pakistani / BANN / Angolan / OAFG / Afghan
WWEL / Welsh / MWAS / White and asian / ABAN / Bangladeshi / BCON / Congolese / OKRD / Kurdish
WCOR / Cornish / MOTH / Any other mixed background / AOTH / Any other asian background / BGHA / Ghanaian / OLAM / Latin/South/Central American
WOWB / Any other white British / BNGN / Nigerian / OVIE / Vietnamese
WIRI / Irish / BSLN / Sierra Leonian / OOEG / Any other ethnic group
WIRT / Traveller of Irish Hertage / BSOM / Somali
WALB / Albanian / BSUD / Sudanese / declined
WGRE / Greek/Greek Cypriot / BAOF / Other Black African
WTUK / Turkish / BOTH / Any other black background
WTUC / Turkish Cypriot
WEEEU / White Eastern European
WWEU / White Western Europeean
WOTW / White other
WROM / Gypsy /Roma