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Westlands Primary School Admission Form 
All schools are required by law to keep on record details of children admitted. We would therefore be grateful if you would complete this form and supply the school with a copy of your child's full birth certificate and proof of address.
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Legal First Name of Child
 *
Legal Middle Names of Child (if Any)
Legal Last Name of Child
 *
Preferred First or Last Name (if different from legal name(s) above):
Date of Birth:
 *
MM
/
DD
/
YYYY
Gender:
 *
Child's Permanent Address:
 *
Postcode:
 *
Is the above child resident with foster parents?
 *
If yes, which Authority is financially responsible for maintenance?
Are there any Court Orders relating to your child?
 *
Playgroup, Nursery or School last attended:
 *
Date of last attendance at playgroup, nursery or school
MM
/
DD
/
YYYY
Parent/Guardian 1 Title *
Parent/Guardian 1 First Name
 *
Parent/Guardian 1 Last Name *
Parent/Guardian 1 Relationship to Child *
Parent/Guardian 1 Address: (If different from above)
Parent/Guardian 1 Postcode:
Parent/Guardian 1 Home Telephone No:
Parent/Guardian 1 Mobile No:
 *
Parent/Guardian 1 Work No:
Parent/Guardian 1 Email:
 *
Does Parent/Guardian 1 have parental responsibility?
 *
2nd Parental Responsibility Details
Second Parent/Guardian Title
Second Parent/Guardian First Name
Second Parent/Guardian Last Name
Second Parent/Guardian Relationship to Child
Does Second Parent/Guardian Address live at same address?
Second Parent/Guardian Address if different
Second Parent/Guardian Postcode:
Second Parent/Guardian Mobile No:
Second Parent/Guardian Home Telephone No:
Second Parent/Guardian Work No:
Second Parent/Guardian Email:
Does the  Second  Parent/Guardian person have parental responsibility?
 *
Please list any brothers or sisters that are currently at, or have previously attended, Westlands Primary School, with their date of birth:
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