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School Admissions Form

Please complete this form for your child. It is important that any changes to the information are kept up to date; please let the school office know of any changes which may occur. (Please ensure all numbers that are provided are correct and up to date).

Gender*
 
House Number/ Name/ Apt
Street
Town
County
Postcode
 
Mr / Mrs / Miss / Ms /Other
Forename
Middle name
Surname
Relationship to child
Occupation/Profession
Spoken Language(s)
Date of Birth
 
House Number/ Name/ Apt
Street
Town
County
Postcode
National Insurance or NASS number
Home number
Mobile number
Work number
Email
 
Mr / Mrs / Miss / Ms /Other
Forename
Middle name
Surname
Relationship to child
Occupation/Profession
Spoken Language(s)
Date of Birth
 
House Number/ Name/ Apt
Street
Town
County
Postcode
National Insurance or NASS number
Home number
Mobile number
Work number
Email
 
Parent/ Guardian 1
Parent/ Guardian 2
Other
 
Title: Mr / Mrs / Miss / Ms /Other
Forename
Middle name
Surname
Address
Postcode
Relationship to child
Work Telephone
Home Telephone
Mobile Telephone
Email
 Full NameRelationshipContact Number
1
2
3
 
Child’s First Language
Home Language
Place of birth
If, outside of the UK, date of entry (M/Y)
Nationality
Does your child have any Special Needs*
Do you have a sibling at the school:*
Meal Pattern/Information - It is not permitted to consume meat (including fish and egg) on the school premises. Please circle as appropriate your lunchtime preference*
Travel To School - Please tick your child’s usual main mode of travel. If the journey to school involves more more than one mode of travel tick the mode used for the greatest part, by distance, of the journey.*
 
Name of Previous Nursery/Preschool
Address
Street
Town
County
Postcode
Date of leaving

As part of our environmental responsibility we endeavour to communicate via email and text messages to all parents. If you are unable to receive correspondence via email please contact the school office.

Parent Consent: Local Trips - From time to time throughout the year your child may be visiting facilities within the local area in walking distance. Please give consent by clicking the checkbox*

Parental Declaration
DATA PROTECTION STATEMENT:
• The purpose of this form is to collect data for further processing within the school/Local Authority/Health Authority systems.
• The data will be processed in accordance with the purposes notified by the school/Local Authority/Health Authority and are subject to the Data Protection Act. The information given will be entered onto a computer and will form part of the School’s database. Please see the NST Data Protection Policy for further information https://www.nishkamschooltrust.org/attachments/download.asp?file=53&type=pdf
• Your signature on this form implies your consent for the school/Local Authority/Health Authority to process the data.

DECLARATION OF PERSON WITH LEGAL RESPONSIBILITY:*