In-Year Admission Form

Child's details

Please complete one separate form for each individual child's application

Question Title

* 1. Which year group are you applying for?

2-3 years Acorns Preschool

Nursery

Reception

Year 1

Year 2

Year 3

Year 4

Year 5

Year 6

Question Title

* 2. Child's first name

Question Title

* 3. Middle name(s)

Question Title

* 4. Legal surname

Question Title

* 5. If different to above, please enter your child's preferred name

Question Title

* 6. Childs Date of Birth - please complete in the following format (e.g. 01/11/2017)

Question Title

* 7. What is your child's gender?

Female

Male

Other

Question Title

* 8. Address
(Child's permanent address at time of application or, if moving, future address and date of move)

Address

Address 2

City/Town

ZIP/Postal Code

Country

Question Title

* 9. Name of current setting, or last setting attended

Question Title

* 10. Name of sibling, or parent working at Camps Hill Primary School

Sibling 1

Sibling 2

Sibling 3

Name of parent

Question Title

* 11. Is your child in public care?

Yes

Question Title

* 12. Does your child have an EHCP (Education Health Care Plan)?

Yes

Question Title

* 13. Do you have a code that entitles you to free funding?

Yes

If yes, please provide the code

Question Title

* 14. Parent/Carer details

Title (Miss, Ms, Mrs, Mr, Dr etc.)

First Name

Legal Surname

Number of house

Street Name

Town

County

Postcode

Phone number

Email address

Question Title

* 15. Relationship to child

Question Title

* 16. Have Parental Responsibility (PR) for the child applying?

Yes

Question Title

* 17. Declaration

The information I have given on this form is complete and accurate. I understand that my personal information will be held securely and will be used only for local authority purposes.

I agree to Camps Hill Primary School using this information to consider my application for a school place. I understand that, if any part of this completed application form is found to be false, the offer of a place will be withdrawn.

I understand that the completion of an application form does not guarantee a place in the school.

I understand that, if offered a place in the Nursery class, I will have to apply separately for a place in Reception.

I agree

Thank you for completing this form. The school will be in touch shortly to discuss your application. Please see further information about the school on
www.campshill.herts.sch.uk

In-Year Admission Form

Child's details

Question Title

* 1. Which year group are you applying for?

Question Title

* 2. Child's first name

Question Title

* 3. Middle name(s)

Question Title

* 4. Legal surname

Question Title

* 5. If different to above, please enter your child's preferred name

Question Title

* 6. Childs Date of Birth - please complete in the following format (e.g. 01/11/2017)

Question Title

* 7. What is your child's gender?

Question Title

* 8. Address(Child's permanent address at time of application or, if moving, future address and date of move)

Question Title

* 9. Name of current setting, or last setting attended

Question Title

* 10. Name of sibling, or parent working at Camps Hill Primary School

Question Title

* 11. Is your child in public care?

Question Title

* 12. Does your child have an EHCP (Education Health Care Plan)?

Question Title

* 13. Do you have a code that entitles you to free funding?

Question Title

* 14. Parent/Carer details

Question Title

* 15. Relationship to child

Question Title

* 16. Have Parental Responsibility (PR) for the child applying?

Question Title

* 8. Address
(Child's permanent address at time of application or, if moving, future address and date of move)