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

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* 1. Which year group are you applying for

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* 2. Child's first name

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* 3. Middle name(s)

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* 4. Family name

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

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* 6. Date of birth

Date

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* 7. Gender

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* 8. NHS number

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

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* 10. Setting your child currently attends, or last attended (if any)

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* 11. Name of sibling, or parent working at Fairlands Primary School

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