Apply for a primary school place

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All fields on this form are mandatory unless marked as optional.
Review the application
Here is a summary of the information you provided. Please review it and ensure the information is correct before submitting the application.

Main contact details

Question Answer
Title
Other title
Forename
Surname
Relationship to child
Address
Town
Postcode
Email
Home telephone
Mobile telephone
Work/day telephone

Main contact communication preferences

Question Answer
Should this person receive a copy of the child's progress report?
Does this person have parental responsibility?
What is this person's preferred language?
Should this person be contacted in an emergency?
Should this person be contacted for attendance absence or event alerts?
Does this person have any support or assistance requirements?
Provide details of the support or assistance required
Would you like to add another contact?

Contact priorities

Question Answer
Second priority emergency contact
Third priority emergency contact
First priority absence/attendence alert contact
Second priority absence/attendence alert contact
Third priority absence/attendence alert contact

Child's details

Question Answer
Forename
Known as
Surname
Previous surname
Date of birth
Gender NotSelected
Does the child live at the same address as you?

School details

Question Answer
Which school would you like the child to attend?
Do you also intend to complete an out of zone request form for a different school?
What year or stage will the child be entering?
What is the name of the school or nursery the child attended previously? (optional)
What is the name of the school or nursery the child attended previously? (optional)

Siblings

Question Answer
No siblings were entered

Children from Armed Forces families

Question Answer
Is the child from an Armed Forces family?

Care experienced children

Question Answer
Is the child currently under supervision of an authority?

Child’s spoken language

Question Answer
Is English the child's main language?

Ethnicity/Religion

Question Answer
What is the child's ethnic origin group?
What is the child's ethnic origin?
What is the child's religion?
Do you wish your child to be withdrawn from collective worship?
What is the child's national identity?
Is the child an asylum seeker?
Is the child a refugee?

Child's medical practice

Question Answer
Name
Address
Town
Postcode
Telephone number

Child's medical details

Question Answer
Does your child have any medical conditions?
Does your child need any medication?
What other medical information do we need to know?

Additional needs

Question Answer
Does your child have any additional support needs?

Additional information

Question Answer
Does your child currently receive free school meals?
Do you want to request a clothing grant for the child?
Does the child require transport?
Does the child have any special dietary requirements?
Does the child have a significant disability?
Do you require information that is sent home from school to be in language other than English or in a particular format?
Is there any additional information you would like to provide?