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Child And Family Information
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* Indicates required question
Child's name
*
Your answer
D.O.B.
*
MM
/
DD
/
YYYY
Address
*
Your answer
Email address
*
Your answer
Current / previous school
*
Your answer
Reason for leaving current / previous school?
*
Your answer
Parent / guardian name/'s
*
Your answer
Best contact number
*
Your answer
Is your adopted?
Yes
No
Clear selection
If yes, what was his age when adopted?
Your answer
Parents marital status?
Married
Separated
Divorced
Clear selection
Which parent does the child live with?
Mother
Father
Both parents
Other:
Clear selection
Current / previous sport or physical activity?
Your answer
Maths and English grades from previous school?
Your answer
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