ADMISSIONS FORM WHITINGS 1 by p4tPzt8

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									                          WHITINGS HILL PRIMARY SCHOOL
                                ADMISSIONS FORM
YEAR APPLIED FOR:

DOCUMENTS SEEN:
BIRTH CERTIFICATE/ PASSPORT:

PERSONAL DETAILS:
CHILD'S NAME:                                 CHILD KNOWN AS:

DATE OF BIRTH:                                GENDER: Boy/ Girl
CHILD'S ADDRESS:


Home Telephone No:
CHILD'S FIRST SPOKEN LANGUAGE:                OTHER LANGUAGES SPOKEN/
                                              UNDERSTOOD:

ETHNIC ORIGIN:                                RELIGION:


FAMILY DETAILS:
MOTHER/ FIRST ADULT:
Parental Resposibility ? Yes/No
ADDRESS (if different to child's)

PHONE:                                         OCCUPATION:
Home:
Mobile:
Work:

FATHER/ SECOND ADULT:
Parental Responsibility ? Yes/No
ADDRESS (if different to child's)

Home:                                         OCCUPATION:
Mobile:
Work:
DETAILS OF SIBLINGS:
        NAME:                       DATE OF BIRTH:            ATTENDS THIS SCHOOL
1.                                                                  Yes/ No
2.                                                                  Yes/ No
3.                                                                  Yes/ No
4.                                                                  Yes/ No

EMERGENCY CONTACT DETAILS: (List in order of who should be contacted in case of illness or
other emergency.)
                  NAME                 RELATIONSHIP                     PHONE
         st
Contact 1

Contact 2nd

Contact 3rd
ADDITIONAL DETAILS:
DETAILS OF ANY PREVIOUS SCHOOL/PROVISION ATTENDED
        NAME & ADDRESS          DATE(S) ATTENDED
1.

TEL NO:
HEADS NAME:
2.

TEL NO:
HEADS NAME:

MEDICAL DETAILS:
DOCTOR'S NAME & ADDRESS:


                                 PHONE:
MEDICAL/ DIETARY NEEDS/ ALLERGIES



Do we have your permission to call your doctor if needed ?     Yes/No
Do we have your permission to administer 1st Aid if needed ?   Yes/No

ANY OTHER INFORMATION:
WILL YOUR CHILD:
1) Require a Paying School Lunch:           3) BRING A PACKED LUNCH:
2) A Free School Meal (Income support
evidence seen) :

We often use photographs of children within our brochures and newsletters. We would
like permission to use photographs of your child for school publications.

I agree for photographs of ___________________________ to be used within school
publications.


PLEASE STATE BELOW HOW YOU WILL TRAVEL TO AND FROM SCHOOL.
e.g. WALK , PUBLIC TRANSPORT, CAR etc.

Mode of Transport …………………………………….

YOUR CHILD MAY BE EXPECTED TO PARTICIPATE IN LOCAL VISITS/ TRIPS AS
PART OF THEIR CURRICULUM. YOU WILL BE NOTIFIED OF THIS AS THE TRIP
IS PLANNED. PLEASE SIGN BELOW GIVING YOUR CONSENT TO THIS.

SIGNED: …………………………………………… DATE: …………………….

								
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