Information Sheet
Dear Parents/Carers

In this unprecedented time, we ask that you complete the following pupil information form. we know things like email and phone numbers may change Completing this form will enable us to make sure your details are up to date and allow us to contact you in a variety of ways if we need to any time in the future.

If you don’t have all details please don’t worry we can add them at a later time.

It should only take between 5-10 minute.

Thank you


Mrs Butt
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What  class is your child in?
Child's Surname
Child's Forename(s)
Date of Birth dd/mm/yyyy
Gender
Address
Postcode
School Meals
Home Telephone
Religion
Clear selection
Church and Date of Baptism (dd/mm/yy)
PARENT / GUARDIAN DETAILS 1
Title
Surname
Forename
Relationship to Pupil
Place of Employment
Occupation
Mobile Telephone No.
Email Address
Work Telephone No.
PARENT / GUARDIAN DETAILS 2
Title
Surname
Forname
Relationship to Pupil
Place of Employment
Occupation
Mobile Telephone No.
Email Address
Work Telephone No.
Please provide the name, address and the telephone number of emergency contact other than the above. If you have more than one emergency contact please fill in both parts
Emergency Contact 1
Title
Forename
Surname
Relationship to Pupil
Home Telephone No.
Mobile Telephone No.
Emergency Contact 2
Forename
Surname
Relationship to Pupil
Home Telephone No.
Mobile Telephone No.
Health Information: Does your child have any medical conditions you feel the school should know about e.g. Any Allergies, Asthma, Hearing Problems. Please list below:
Name of Doctor
Telephone Number
Address
NURSERY PUPILS ONLY( Name of health visitor)
Details of any other schools - with dates
School / Nursery and dates From and To
Full Names of Brother(s) and / or sister(s) already attending school
1.
2.
3.
4.
5.
6.
How does your child travel to school
Clear selection
Ethnic Group
Clear selection
Languages
Clear selection
Submit
Clear form
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