01827 337465 office@amingtonheath.staffs.sch.uk

Designed and built by

Apply for a Nursery Place

Nursery Classes

This application is for children aged 2-4 only. Please see the school admissions policy or contact the school office for admissions arrangements for children in Reception to Year 6. 

The admissions application form is also available to download here.


Child's Details

Male Female Other
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No

Details of person completing this form

Details of older brother or sister
attending Amington Heath Primary School

I agree that the information provided on this application form will be used in accordance with Data Protection Legislation to ensure that Amington Heath Primary and Nursery School’s records are correct and that my application for school can be processed. It may also be shared with other agencies and services in the Local Authority including; child health services, local support teams, other Local Authorities, District Inclusion Panels and any other relevant agencies to ensure that your child and family receives an appropriate service from the County Council. The full Data Protection statement can be found on our website https://www.amingtonheath.staffs.sch.uk/about-us/policies

I certify that the information I have provided is true to the best of my knowledge, and understand that any false or deliberately misleading information provided on this form and/or supporting papers may render this application invalid and could lead to the withdrawal of an offer of a school place for my child. I also give my consent for Amington Heath Primary and Nursery School to contact relevant agencies in order to validate this application for a school place and to ensure that it is processed in line with relevant legislation.

I certify that the information I have provided is true to the best of my knowledge, and understand that any false or deliberately misleading information provided on this form and/or supporting papers may render this application invalid and could lead to the withdrawal of an offer of a school place for my child. I also give my consent for Amington Heath Primary and Nursery School to contact relevant agencies in order to validate this application for a school place and to ensure that it is processed in line with relevant legislation.