APPLICATION FORM
Personal Details Of Child
CHILD FULL NAME :
CHILD'S SURNAME :
Date of Birth :
Sex :	Male Female
Parent Email
HOME ADDRESS :
Postcode :
CHILD’S Nationality :
Parents Information
Please complete No. 1 for the parent or guardian with whom the child normally lives.
Father Name :
Direct Mobile :
Mother Name :
Direct Mobile :
Child’s Home Telephone Number
Emergency Contacts – (Parents relations/Friends/Office )
Contact 1
Select :	Mrs Mr Ms
Mobile :
Relationship to child :
Contact 2
Select	Mrs Mr Ms
Mobile :
Relationship to child :
Emergency no.
Name :
Please state relationship to child eg Grandparent/Child minder/ Neighbour
Mode of Transport
Who will drop the child at School :	Father Driver Parents relations Friends Other
Please specify Name (if other Father) :
Direct Mobile :
Other Info.
Any school attended previously ? if Yes, please specify :
Any food allergies ? if yes, please specify :
Self trained for the Toilet :	Yes No
Date of Joining :
Special Request :
	School fees must be submitted within five days of this form or place cannot be held as limited space available