Y1 Application Form - Christmas 2018

We may need to send emails to you shortly before or during the course. Please ensure that the email address you provide is one which you will be able to access during the period of the course.

Email address *
Child's surname *
Your answer
Child's first name *
Your answer
Gender *
Age at start of course *
Please enter in whole years only
Your answer
Home postcode *
Please enter WITH a space - eg "YO1 1AZ"
Your answer
Home telephone *
Please enter WITHOUT spaces - eg 01904123456
Your answer
Emergency telephone *
This should be a number where we can reach you in the event of an emergency during the course.
Current school / college *
Your answer
Health information *
Does your child have any medical or behavioural condition which we may need to know about in order to ensure their safety and well-being during the course? (eg.) asthma, anxiety, phobia, allergies (including to plasters or other basic first aid treatment) If YES, please give details in the next section of this form.
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