CHS Infant & Junior School Application Form 2019 - 2020
More information about how we will need to process this information can be found on www.cheadlehulmeschool.co.uk/privacy
Email address *
Child's Details
Child's surname *
Your answer
Child's first name(s) *
Your answer
Please indicate the name your child would like to be known by *
Your answer
Child's date of birth *
Your answer
Gender *
Required
Child's Address (inc. postcode) *
Your answer
Proposed Date of Entry *
Year Group on Entry *
Required
Contact Details - Parent/Carer 1
Name (inc. title) *
Your answer
Address (if different from child's)
Your answer
Preferred Email address *
Your answer
Phone number (mobile) *
Your answer
Phone number (home)
Your answer
Occupation
Your answer
Relationship to child *
Your answer
Contact Details - Parent/Carer 2
Parent/Carer 2 - Name (inc. title) *
Your answer
Parent/Carer 2 - Address (if different from child's)
Your answer
Parent/Carer 2 - Email address
Your answer
Parent/Carer 2 - Phone number (mobile)
Your answer
Parent/Carer 2 - Phone number (home)
Your answer
Parent/Carer 2 - Occupation
Your answer
Parent/Carer 2 - Relationship to child
Your answer
Current School/Nursery Information
Please note that CHS may seek a reference/report from your child's current school
Child's current School/Nursery (inc. address)
Your answer
Name of Headteacher/Key worker
Your answer
Email address for current School/Nursery
Your answer
Date started at current School/Nursery
Your answer
Previous schools and dates attended (if applicable)
Your answer
Please mention any connection with CHS (siblings, Old Wac's, any other family connection to CHS)
Your answer
Additional Information
Please submit any relevant documents or reports to the Admissions Office, Cheadle Hulme School, Claremont Road, SK8 6EF
If your child has a specific learning difficulty, special learning need or disability please provide details
Your answer
If your child has a medical condition (including allergies) please provide details
Your answer
If your child is 'cared for', been previously 'cared for' by a Local Authority or adopted please provide details
Your answer
My child's first language is *
Hobbies & Interests
Please outline details of your child's main hobbies and interests, including academic, artistic, dramatic, musical or sporting skills or experiences.
Hobbies & Interests *
Your answer
Paying your £50 registration fee (non-refundable)
BACS payments can be made to: a/c name Cheadle Hulme School, a/c number: 10519550, sort code: 09-02-22. Please use your child's name as a reference. Alternatively, payment can be made by card by contacting the Finance Department on 0161 488 3330 ext 3205 or 3225
How have you made your payment? *
Date of payment *
Your answer
Declaration
Offers of places are subject to availability and the admission requirements of the School at the time offers are made. A copy of the current edition of the standard terms and conditions is available on the School website.

We understand that the standard terms and conditions of the School will undergo reasonable changes from time to time as circumstances require and will apply in all our dealings with the School.
Signature *
Name of person submitting application *
Your answer
What happens next?
Thank you for your application form. A copy of the completed application form will be automatically emailed to you.

Reception Assessments will be held during November and December 2019. Assessments for other year groups will be held on Monday 13 January 2020. Further details will be emailed to you nearer the time.

If you have any questions please contact The Admissions Team on 0161 488 3345 or email admissions@chschool.co.uk
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