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St Monica's Catholic Primary School
Pupil Admission Form - Reception to Year 6
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* Indicates required question
Child's Last name/Surname/Family name
Legal Last name of child
*
Your answer
Child's First name
Legal First name of child, not shortened or familiar versions
*
Your answer
Child's Preferred name or nickname
Your answer
Child's Date of Birth
Please input in this format dd/mm/yyyy
*
Your answer
Child's Age
*
Your answer
Child's Gender
*
Prefer not to say
Male
Female
Child's Country of birth
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Choose
Other South America
Denmark
Africa not otherwise specified
China
Trinidad & Tobago
Sudan
Malawi
Hungary
Iraq
Sri Lanka
Other Caribbean
Thailand
Nepal
Pakistan
Iran
Zimbabwe
Yemen
Switzerland
Romania
Ukraine
Macedonia
Northern Ireland
Kazakhstan
Mexico
Slovakia
Lebanon
Angola
Congo
Luxembourg
Kenya
Serbia
Nigeria
Ghana
Jamaica
Oman
Czech Republic
Namibia
Germany
Saudi Arabia
England
Italy
Croatia
Vietnam
Egypt
Guinea-Bissau
Eritrea
Uganda
Other South-East Asia
Wales
Qatar
Bangladesh
Guyana
Somalia
South Africa
Azerbaijan
The Gambia
Libya
Scotland
Ivory Coast
Mauritius
Zambia
Poland
Tunisia
Senegal
Mongolia
Algeria
Spain
UK
Taiwan
Botswana
Other North Africa
Peru
Uruguay
Liberia
France
Tanzania
Japan
Canada
Korea
Kosovo
Ireland
Netherlands
Russia
Iceland
Syria
Latvia
Sierra Leone
India
Bosnia and Herzegovina
Argentina
Papua New Guinea
Indonesia
Singapore
Montserrat
Finland
Brazil
Turkey
Kuwait
Portugal
Albania
United States
Isreal
Dominican Republic
St Lucia
Cyprus
Lithuania
Slovenia
Greece
Philippines
Bulgaria
Norway
Cameroon
Afghanistan
Rwanda
Togo
Jordan
United Arab Emirates (UAE)
Ethiopia
Malta
Ecuador
Colombia
Morocco
Malaysia
Date Child entered UK
If the child was born outside the UK, please provide the date they arrived here
*
Your answer
Child's First Language
The language regularly spoken in the home, whether or not this child speaks or understands it.
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Choose
Acholi
Adangme
Afar-Saho
Afrikaans
Akan (Fante)
Akan (Twi/Asante)
Albanian/Shqip
Alur
Ambo (Kwanyama)
Ambo (Ndonga)
Ambo/Oshiwambo
Amharic
Anyi-Baule
Arabic
Armenian
Assamese
Assyrian/Aramaic
Aymara
Azeri
Balochi
Balti Tibetan
Bambara
Bamileke (Any)
Basque/Euskara
Beja/Bedawi
Belarusian
Believed Other than English
Believed to be English
Bemba
Bengali
Berber/Tamazight
Bhojpuri
Bikol
Bosnian
British Sign Language
Bulgarian
Burmese/Myanma
Cambodian/Khmer
Caribbean Creole English
Catalan
Cebuano/Sugbuanon
Chaga
Chattisgarhi/Khatahi
Chechen
Chichewa/Nyanja
Chinese
Chitrali/Khowar
Chokwe
Comorian Swahili
Cornish
Croatian
Czech
Dagaare
Dagbane
Danish
Dari Persian
Dinka/Jieng
Dutch/Flemish
Dyula/Jula
Dzongkha/Bhutanese
Ebira
Edo/Bini
Efik-Ibibio
English
Esan/Ishan
Estonian
Ewe
Ewondo
Fang
Farsi/Persian (Any Other)
Fijian
Filipino
Finnish
Fon
French
Fula/Fulfulde-Pulaar
Ga
Gaelic (Scotland)
Gaelic/Irish
Galician/Galego
Georgian
German
Gogo/Chigogo
Greek
Guarani
Gujarati
Gurenne/Frafra
Gurma
Hausa
Hebrew
Herero
Hiligaynon
Hindi
Hindko
Hungarian
Iban
Icelandic
Idoma
Igala
Igbo
Ijo (Any)
Ilokano
Indonesian/Bahasa Indonesia
Italian
Itsekiri
Japanese
Javanese
Jinghpaw/Kachin
Kalenjin
Kannada
Kanuri
Karen (Any)
Kashmiri
Katchi
Kazakh
Khasi
Kihaya/Luziba
Kikamba
Kikongo
Kikuyu/Gikuyu
Kimbundu
Kimeru
Kinyakyusa-Ngonde
Kinyarwanda
Kirghiz/Kyrgyz
Kirundi
Kisi (West Africa)
Kisii/Ekegusii (Kenya)
Kisukuma
Konkani
Korean
Kpelle
Krio
Kru (Any)
Kurdish
Lango (Uganda)
Lao
Latvian
Lingala
Lithuanian
Lozi/Silozi
Luba
Luganda
Lugbara
Lugisu/Lumasaba
Luhya (Any)
Lunda
Luo (Kenya/Tanzania)
Lusoga
Luvale/Luena
Luxemburgish
Maasai
Macedonian
Magahi
Magindanao-Maranao
Maithili
Makua
Malagasy
Malay (Any Other)
Malay/Indonesian
Malayalam
Maldivian/Dhivehi
Maltese
Manding/Malinke
Manx Gaelic
Maori
Marathi
Mauritian/Seychelles Creole
Maya (Any)
Mende
Mongolian (Khalkha)
Moore/Mossi
Munda (Any)
Nahuatl/Mexicano
Nama/Damara
Ndebele
Nepali
Newari
Norwegian
Nubian (Any)
Nuer/Naadh
Nupe
Nzema
Ogoni (Any)
Oriya
Oromo
Other Language
Other than English
Pahari (Pakistan)
Pahari/Himachali (India)
Pampangan
Pangasinan
Panjabi
Pashto/Pakhto
Persian/Farsi
Polish
Portuguese
Portuguese (Brazil)
Quechua
Rajasthani/Marwari
Refused
Romani (International)
Romanian
Romansch
Romany/English Romanes
Runyakitara
Runyankore-Ruchiga
Runyoro-Rutooro
Russian
Samoan
Sango
Sardinian
Serbian
Shilluk/Cholo
Shona
Sidamo
Sindhi
Sinhala
Siraiki
Slovak
Slovenian
Somali
Sotho/Sesotho
Spanish
Sundanese
Swahili
Swazi/Siswati
Swedish
Tagalog
Tagalog/Filipino
Tajiki Persian
Tamil
Telugu
Temne
Teso/Ateso
Thai
Tibetan
Tigre
Tigrinya
Tiv
Tok Pisin
Tonga/Chitonga (Zambia)
Tongan (Oceania)
Traveller Irish/Shelta
Tsonga
Tswana/Setswana
Tulu
Tumbuka
Turkish
Turkmen
Ukrainian
Umbundu
Urdu
Urhobo-Isoko
Uyghur
Uzbek
Venda
Vietnamese
Visayan/Bisaya
Wa-Paraok (South-East Asia)
Waray/Binisaya
Welsh/Cymraeg
West-African Creole Portuguese
Wolof
Xhosa
Yao/Chiyao (East Africa)
Yiddish
Yoruba
Zande
Zulu
Child's Home Address
Please include full postcode
*
Your answer
Family Situation
*
2 Adults
In Residential Care
Single Parent
Foster Parents
Family members attending St Monica's
The names of this child's siblings attending St Monica's, including their year group.
Your answer
Is this child a traveller?
*
No
Yes
Is this child a refugee?
*
Yes
No
Is this child in care?
*
No
Yes
Mode of Transport
How will the child get to school?
*
Choose
Walk
Car
Car Share
Public Bus
Cycle / Scooter
Train
Tube
Other
Religion
*
Choose
Buddhist
Catholic
Christian
Jewish
Hindu
Muslim
Sikh
Other Religion
No Religion
Prefer Not to Say
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