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* 1. Child's Legal Surname

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* 2. Child's Legal Forename

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* 3. Other Names

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* 4. Name known by

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* 5. Child's date of birth.

Date

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* 7. Address

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* 8. Ethnic Origin

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* 9. First Language

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* 10. Language used at home

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* 11. Religion

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* 13. Date of leaving (if appropriate)

Date
If there are any Court Orders in place, we ask that you provide a copy to the school so that we can adhere to it.

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* 16. Has your child ever been looked after 'In Care' or been 'Adopted from Care'?

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* 17. If yes to either, please provide further details.

Please provide contact details of who we can contact in case of an emergency. Please note we require a minimum of two contacts. We will try and make contact with those identified as an emergency contact in the order given.

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* 18. Please provide priority contact details for Parent 1

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* 19. Please provide priority contact details for Parent 2

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* 20. Other Emergency Contact

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* 21. Other Emergency Contact

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* 22. Other Emergency Contact

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* 23. Child's Health (concerns, special conditions, need to regular medication etc.)

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* 24. Diagnosed Medical Condition / Dietary Requirements

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* 25. Family Doctor

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* 26. Other services that have been involved with your child e.g. Social Services, Educational Psycologist, Speech Therapist, Child and Family Guidance, CAMHS etc.

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* 27. Previous and present school attending, including nursery / pre-schools.

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* 28. Other children within the family. Names and ages.

We treat all information provided in confidence and in accordance with the Data Protection Act 1998. We will use the information for the purpose of supporting your child within school and are required by law to share the information with Hampshire County Council and the Department of Education. A Privacy Notice can be requested from the School Office.

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* 29. Name of parent completing registration form.

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