2026- Nursery DC Form 2026- Nursery DC Form 1. PUPIL INFORMATION FIRST NAME * MIDDLE NAME (if any) LAST NAME * PREFERRED NAME (if any) GENDER * Girl Boy Date of Birth * Home Address (including postcode) Nursery Hours * 15 Hour Nursery 30 Hour Nursery 30 Hour Eligibility Code We will need you to submit your eligibility code by 31st August 2026. Child's Name * Parent's Name * Child's Date of Birth * Parent's NI No * 30 hours eligibility code: (e.g. xxxxxxxxxxx) * Declaration * • I confirm that the information I have provided above is accurate and true. I understand and agree to the conditions set out in this document. • I understand that I cannot claim my entitlement on any other site. • I understand that I cannot claim more than 1,140 hours per year and a weekly maximum of 30 hours • I understand that if I cease to meet the 30 hours eligibility criteria I will continue to receive funding for the “grace period” only • I understand that all Hounslow Schools and the Local Authority (LA) are bound by the Data Protection Act and will not reveal information held on my child to a third party unless the law allows them to. • I also agree that the information I have provided can be shared with the Local Authority and Department for Education. • I understand the Local Authority will use this information to confirm my child’s eligibility and enable this school to claim free the 30 hours entitlement funding. I have read & agree to the terms above. 2. CONTACT DETAILS We will use this information as your main contact details. All text messages from school will be sent to this number. MAIN CONTACT NUMBER * MAIN E-MAIL * 3. FAMILY CONTACT DETAILS 3.1 PARENT/CARER You are our main contact. This means, you will our first point of contact. All text messages, any calls (emergency or otherwise) from school will be sent to this number. NAME * RELATIOSHIP TO THE CHILD (1) * MotherFatherStep MotherStep FatherGuardianOther Family Member (siblings,relative)Other RELATIOSHIP TO THE CHILD (1) Gender * MaleFemale MAIN CONTACT NUMBER * E-MAIL * ADDITIONAL NUMBER(S) Address if different from Section 1(including postcode) 3.2 PARENT/CARER NAME * RELATIOSHIP TO THE CHILD (2) * MotherFatherStep MotherStep FatherGuardianOther Family Member (siblings,relative)Other RELATIOSHIP TO THE CHILD (2) Gender * MaleFemale E-MAIL * MAIN CONTACT NUMBER * ADDITIONAL NUMBER(S) Address if different from Section 1(including postcode) 3.3 EMERGENCY CONTACT We must have a third emergency contact, it must be someone other than listed above. NAME * RELATIONSHIP TO THE CHILD (Emergency) * Step ParentOther Family Member (siblings,relatives)Other RELATIONSHIP TO THE CHILD (Emergency) Gender * MaleFemale CONTACT NUMBER * ADDITIONAL NUMBER(S) 4. SIBLINGS AT SPRING GROVE Does your child have any siblings at Spring Grove? * Yes No - Go to Section 5 Sibling Details Sibling Name * Class (Current) * ReceptionYear 1Year 2Year 3Year 4Year 5Year 6Nursery plus1 Add minus1 Remove If you are human, leave this field blank. Next Δ
