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ST JAMES’ ROMAN CATHOLIC PRIMARY SCHOOL Supplementary Information Form This form should be completed when applying for a place in St James’ Roman Catholic Primary School in the Archdiocese of Southwark. Please complete and sign the form below and hand it to your Parish Priest at the church at which you normally worship. He will add his reference in Part 2. Supplementary Information Forms must be returned to St James’ School, together with a copy of your child’s th baptismal and birth certificates, no later than 3pm on Tuesday 15 January 2013. NB. You must also complete and return a Common Application Form (available from schools and/or Local Authorities) to L.B. of Bromley. PART 1 (To be completed by all parents or carers) Surname of child: ___________________________________________________ Date of birth: ____________________ Christian/forename(s) of child: _________________________________________________________________________________ Date and place of Baptism : _________________________________________________________________________________ Please give details of siblings who will be attending St James’ at the time of this proposed admission _________________________ __________________________________________________________________________________________________________ Parents’ names: __________________________________________________________________________________ Parents’ religions/denominations: ______________________________________________________________________________ Home address: ____________________________________________________________ Postcode ________________________ How long have you lived at this address?__________________________________________ Contact numbers: Home ______________________________ Work ______________________________ Mother/Father/Carer) E-mail addresses: __________________________________________________________________________________________ Which Mass you normally attend: Saturday at _________________________ (time) or Sunday at ______________________ (time) Parish in which you live _____________________________________________________ Usual place of worship (if different):_____________________________________________________________________ How long have you worshipped there? __________ years How often do you attend Mass? weekly at least once a month less often Please add here any other information you may feel is relevant to this application in relation to the school’s admissions policy. (Continue on a separate sheet if necessary). I confirm that the information we have given on this form is accurate and truthful: Signed: _____________________________________________ Parent/carer Date: ___________________ PART 2 (To be completed by your Catholic priests only) A. For all schools: I am satisfied that the child is a baptised Catholic Yes No B. For schools requiring evidence of practice: PARENT/CARER CHILD Are the parents known to you? Yes No Is the child known to you? Yes No Regular attendance at Mass Regular attendance at Mass (i.e. weekly) (i.e. weekly) Occasional attendance at Mass Occasional attendance at Mass (i.e. at least once a month) (i.e. at least once a month) Irregular attendance at Mass Irregular attendance at Mass (i.e. less than once a month) (i.e. less than once a month) How long have the parent(s) How long has the child attended your church? ______ attended your church? ______ Priest’s name: _________________________________ Parish _____________________________________ Address: __________________________________________________________ Tel.:___________________ Parish stamp or seal Priest’s signature: _______________________________________ Date: ________________________ If you have lived in the Parish for less than six months please provide a concurrent, supporting reference from your previous Parish Priest. N.B. Please read our attached admissions policy. This has been updated since the publication of the “Starting Primary School in Bromley” booklet (containing the Common Application Form), and is the policy which will be used by the Governors when allocating places for our Reception 2013/14 class.
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