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CMAS (SEPTEMBER 2021) APPLICATION FORM -WEEKEND SCHOOL
Applications are open for September 2021 entry only (Child aged 5 or above on 1st September 2021).
Please note all students will be expected to attend on both Saturdays & Sundays.
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* Indicates required question
Email
*
Your email
Untitled Title
CHILD’S LAST NAME
*
Your answer
CHILD’S FIRST NAME
*
Your answer
CHILD’S DATE OF BIRTH
*
MM
/
DD
/
YYYY
CHILD’S GENDER
*
Boy
Girl
Required
CHILD’S CLASS IN PRIMARY SCHOOL
*
(Class attending in September 2021)
Nursery
Reception
Year 1
Other:
Required
CHILD’S CLASS IN CMAS (if known)
*
(Class attending in September 2021)
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Other
Required
BROTHER/ SISTER CURRENTLY ATTENDING CMAS
*
Please give name & class of sibling/s currently attending or state ‘NONE’
Your answer
PARENT/ GUARDIAN’S LAST NAME
*
Your answer
PARENT/ GUARDIAN’S FIRST NAME
*
Your answer
RELATIONSHIP TO CHILD:
*
Mother
Father
Other:
Required
HOME ADDRESS
*
Your answer
POST CODE
*
Your answer
LANDLINE NUMBER
*
Your answer
MOBILE NUMBER
*
Your answer
EMERGENCY CONTACT: Name
*
Your answer
EMERGENCY CONTACT: Contact Phone Number
*
Your answer
EMERGENCY CONTACT: Relationship to child
*
Your answer
EMERGENCY CONTACT: Address & Post Code
*
Your answer
ANY ADDITIONAL NOTES
Medical/ Special Needs (Dyslexia, Autism etc.)
Your answer
A copy of your responses will be emailed to the address you provided.
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