Cliff Lane Dragonfly Interest

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Thank you for expressing an interest in becoming a Cliff Lane Dragonfly.
Please note that it is likely you will be asked to support other classes, as well as that of your child/ren.

Email *

Emergency contact details (Name and phone number):

Allergies/ medical needs (please include medication):

Contact number *

Your name *

Are you related to or friends with any staff or children? Please state names below

If you have a child/ children here, which year groups are they in:

Nursery- Bees

Reception- Minnows and Tadpoles

Year 1- Squirrels and Hedgehogs

Year 2- Badges and Otters

Year 3- Hawthorns and Rowans

Year 4- Poplars and Willows

Year 5- Kingfishers and Swifts

Year 6- Cormorants and Kestrels

I am interested in supporting the school by: *

coming in to listen to readers

attending school trips

supporting with sports fixtures

speaking to the children about your job

strengthening our community links with local cultural and religious groups (please specify any links in the comment box)

supporting families who struggle with English by being a translation buddy

supporting with class forest schools sessions

running a club or sports team

other (please add suggestions in the comment box)

Required

My availability: *

Additional comments

Reference requests

Following completion of this form, you will be emailed 2 reference request forms. Please get both of these completed and signed at your earliest convenience before returning them to us. This could be a current or previous employer or someone who has known you over 3 years to provide a character reference.

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