Student Registration Form - Year 7-11
The purpose of this form is to collect data about new students for processing within BACA. Please complete the form in full. The form asks for: contact information for the student, the student's parents or carers and other emergency contacts; student medical and health information; student ethnicity, religion and language; and other relevant information. By completing this form, you agree that BACA may process your data. The data will be processed in accordance with the purposes notified by BACA to the Data Protection Commissioner's office and in compliance with the Data Protection Act and the General Data Protection Regulations. The information given will be entered on a computer and will form part of our database.

Please can the person completing this form enter their email address below to ensure a copy is provided once completed.
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STUDENT'S NAME
Legal forename (given or first name) *
Legal family name (surname) *
Middle name/s
Preferred forename (if different to legal)
Preferred family name (if different to legal)
Previous names (if applicable)
STUDENT'S DETAILS
Date of birth *
MM
/
DD
/
YYYY
Gender *
Please indicate which gender the student most identifies with. The current systems (set nationally) can only record male/female, so if the student has another gender identity, please discuss this with the school.
UPN (if known)
ULN (if known)
Student’s email address
Student’s phone number/s
STUDENT'S ADDRESS
Line 1 *
Line 2 *
Line 3
City *
Postcode *
IF THE STUDENT LIVES AT MORE THAN ONE ADDRESS:
When does the student live at the address listed above (e.g. weekdays, term time, every other week)?
Who do they live with at the address listed above?
Please state the student’s secondary address and who they live with at this address.
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