MOUNT PLEASANT PRIMARY SCHOOL
NURSERY REGISTRATION
Surname: _______________________ Christian Name:______________________
Date of Birth: ___________________
Date of Visit: _______________________
Address: ____________________________________________________________
____________________________________________________________________
Post Code: _____________________ Tel No: ______________________________
Parent(s) Names: _____________________________________________________
Sibling in School: _____________________________________________________
REGISTRATION DETAILS
Place Offered
Accepted
Attended
You have registered for:
Nursery
DATE DUE TO START SCHOOL: _____________________________________
Places are allocated in date of birth order. This registration is for Nursery only. Registering
your child for Mount Pleasant Nursery does not guarantee a place in school. The school
admission procedure is clearly stated in the Dudley LA Primary School Admissions Policy
which can be found at www.dudley.gov.uk
Once completed please return the form to:
Mrs Jane Geddes - Mount Pleasant Primary School, Mount Pleasant, Brierley Hill, West
Midlands DY5 2YN
Or e-mail to jgeddes@mount.dudley.sch.uk