CMAS CLASS 1 (SEPTEMBER 2021) APPLICATION FORM -WEEKEND SCHOOL
Applications are open for Class 1 entry only (Child aged 5-6 years on 1st September 2021).
Please note all students will be expected to attend on both Saturdays & Sundays.
Email address *
CHILD’S LAST NAME *
CHILD’S FIRST NAME *
CHILD’S DATE OF BIRTH *
MM
/
DD
/
YYYY
CHILD’S GENDER *
Required
CHILD’S CLASS IN PRIMARY SCHOOL *
(Class attending in September 2021)
Required
BROTHER/ SISTER CURRENTLY ATTENDING CMAS *
Please give name & class of sibling/s currently attending or state ‘NONE’
PARENT/ GUARDIAN’S LAST NAME *
PARENT/ GUARDIAN’S FIRST NAME *
RELATIONSHIP TO CHILD: *
Required
HOME ADDRESS *
POST CODE *
LANDLINE NUMBER *
MOBILE NUMBER *
EMERGENCY CONTACT: Name *
EMERGENCY CONTACT: Contact Phone Number *
EMERGENCY CONTACT: Relationship to child *
EMERGENCY CONTACT: Address & Post Code *
ANY ADDITIONAL NOTES
Medical/ Special Needs (Dyslexia, Autism etc.)
A copy of your responses will be emailed to the address you provided.
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