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* Child’s Legal Surname

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* Child's Legal Forename

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* Preferred Surname if different to Legal Surname

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* Preferred Forename if different to Legal Forename

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* Middle name(s)

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* Date of Birth:

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* Gender

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* Full Address of Child

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* Postcode

Please give details of brothers/sisters who are attending/have previously attended our school

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* Name(s) and Form(s)

As part of ‘Keeping Kids Safe in Education’, we require details of at least 2 people who can be contacted in an emergency. If you wish to give additional emergency contacts please add them below.
DETAILS OF FIRST CONTACT

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* Forename & Surname

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* Title

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* Mobile Number

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* Home Tel No

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* Work Place Tel No

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* Email Address

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* Which number should we contact first?

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* Notes (e.g. mornings only etc.)

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* Home address

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* Postcode

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* Please indicate Relationship to child

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* Does the above named contact have Legal Parental Responsibility for the child?

DETAILS OF SECOND CONTACT

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* Forename & Surname

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* Title

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* Mobile No

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* Home Tel No

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* Work Place Tel No

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* Email Address

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* Which number should we contact first

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* Notes (e.g. mornings only etc.)

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* Home address

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* Postcode

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* Please indicate Relationship to child

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* Does the above named contact have Legal Parental Responsibility for the child?

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* Do you want both Contact 1 and Contact 2 to receive texts and emails from us

OTHER EMERGENCY CONTACT DETAILS

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* Forename, Surname & Title

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* Mobile No

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* Home Tel No

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* Work Place Tel No

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* Which number should we contact first

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* Notes (e.g. mornings only etc.)

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* Home address

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* Postcode

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* Please indicate Relationship to child

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* Does the above named contact have Legal Parental Responsibility for the child?

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* IS THE STUDENT

STUDENTS BORN OUTSIDE THE EUROPEAN UNION

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* Passport Number

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* Issue Date

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* Expiry Date

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* Name on Passport

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* Visa Number

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* Visa Expiry Date

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* DINNER ARRANGEMENTS

EDUCATIONAL HISTORY 

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* Previous School Name & Address

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* Start Date

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* Leaving Date

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