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School Starter Form - Acorns
Information for our School Management Information System
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* Indicates required question
Child's Full Name
*
Your answer
Child's Full Address with Post Code
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Languages spoken at home
*
Your answer
Child's Religion
*
Christian - Anglican
Christian - Catholic
Jewish
Hindi
Muslim
Sikh
Buddhist
Jehovah's Witness
Other Religion
No Religion
Mode of Travel to School
Walk
Scoot or Cycle
Bus
Car
Other
Clear selection
How would you describe your child's ethnic background
*
White British
White Irish
White Traveller of Irish Heritage
White Gypsy/Roma
Any other White Background
Mixed White & Black Caribbean
Mixed White & Black African
Mixed White and Asian
Any other Mixed Background
Asian Indian
Asian Pakistani
Asian Bangladeshi
Any other Asian Background
Chinese
Black Caribbean
Black African
Any other Black Background
Mother's Full Name
*
Your answer
Mother's Mobile Phone No:
*
Your answer
Mother's email address
*
Your answer
Mother's Address if different from Child's
*
Same as child's
Address if different
Mother's Nationality
*
Your answer
Mother's National Insurance No.
*
Your answer
Mother's Date of Birth
*
MM
/
DD
/
YYYY
Father's Full Name
*
Your answer
Father's Mobile Phone No
*
Your answer
Father's email address
*
Your answer
Father's Address if different from Child's
*
Same as child's
Address if different
Father's Nationality
*
Your answer
Father's National Insurance No.
*
Your answer
Father's Date of Birth
*
MM
/
DD
/
YYYY
Name, address and phone number of current nursery/school attended
*
Your answer
Siblings: name, date of birth and current nursery/school attended
*
Your answer
To whom should correspondence be addressed
*
Mother
Father
Mother and Father
Emergency Contact Details (please give us 3 people we can contact in an emergency)
*
Your answer
Doctor's name, address & phone number
*
Your answer
Permission to contact doctor if child is unwell
*
Yes
No
Permission to administer first aid
*
Yes
No
Any medical conditions or dietary requirements (e.g. allergies / religious preferences)
*
Yes - please give details
No
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