Skip to content ↓

School Admission 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).

Child’s Forename(s)* Child’s Middle name Child’s Surname*

Gender*MaleFemale

Date of Birth* Child’s Address*


House Number/ Name/ Apt
Street
Town
County
Postcode

Parent/Guardian 1 Details*


Mr / Mrs / Miss / Ms /Other
Forename
Middle name
Surname
Relationship to child
Occupation/Profession
Spoken Language(s)
Date of Birth

Address of Parent/Guardian 1*


House Number/ Name/ Apt
Street
Town
County
Postcode
National Insurance or NASS number
Home number
Mobile number
Work number
Email

Parent/Guardian 2 Details*


Mr / Mrs / Miss / Ms /Other
Forename
Middle name
Surname
Relationship to child
Occupation/Profession
Spoken Language(s)
Date of Birth

Address of Parent/Guardian 2*


House Number/ Name/ Apt
Street
Town
County
Postcode
National Insurance or NASS number
Home number
Mobile number
Work number
Email

Emergency Contact Information. Please give your emergency contacts in order of preference. Emergency Contact 1 If same as Parent/Guardian please tick here:*Parent/Guardian 1Parent/Guardian 2Other

Please complete if Emergency contact 1 is not parent/ Guardian 1 or 2 Emergency Contact 1*


Title: Mr / Mrs / Miss / Ms /Other
Forename
Middle name
Surname
Address
Postcode
Relationship to child
Work Telephone
Home Telephone
Mobile Telephone
Email

In the event of an emergency please indicate who you would like us to contact in order of preference. Please add 1, 2 or 3:*


Parent/Guardian 1
Parent/Guardian 2
Other

Contact details of 'other' if applicable:*


Title: Mr / Mrs / Miss / Ms /Other
Forename
Middle name
Surname
Address
Postcode
Relationship to child
Work Telephone
Home Telephone
Mobile Telephone
Email

In addition to the Emergency Contacts, please list friends/family you authorise to collect your child from school

	Full Name	Relationship	Contact Number
1
2
3

General Information*


Child’s First Language
Home Language
Place of birth
If, outside of the UK, date of entry (M/Y)
Nationality

Special Educational Needs*YesNo

Sibling at the school*YesNo

If yes, full name of Sibling: If yes, date of birth of sibling:

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*School MealsPacked Lunch

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.WalkCycleCar/VanCar SharePublic Service BusSchool BusTaxiTrain


Name of Previous School/Nursery/Preschool
Address
Street
Town
County
Postcode
Date of leaving
Reason

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*I agree to my child visiting facilities within the local area in walking distanceI do not agree to my child visiting facilities within the local area in walking distance

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*I declare the above information to be correct to the best of my knowledge at the time of completion. • I agree to notify the school of any change in my child’s circumstances or the above details.