BTHCC Sixth Form Enrolment Form
Congratulations on achieving excellent GCSE results and accepting your place in Year 12 at BTHCC Sixth Form. To complete your enrolment, we require you to complete this form. It is essential all parts of the form are completed and accurate. If any details change over the course of your time at the Sixth Form please contact the Sixth Form to update your records.

Many thanks
Mrs Kneen
Associate Deputy Headteacher & Head of Sixth Form

** If you have not already enrolled with one of the Sixth Form team since collecting your GCSE results, please email mrskneen@bthcc.org.uk as soon as possible**
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Email *
Student's Forename: *
Student's Surname *
Gender *
Gender if you prefer to type
Date of Birth: *
MM
/
DD
/
YYYY
Address: *
Postcode: *
Student Mobile Number *
Email Address:  *
Primary School Attended: *
Secondary School Attended: *
Religion: *
Mother’s Forename: *
Mother’s Surname: *
Mother’s Full Address: *
Mother’s Home Telephone Number: *
Mother’s Mobile Telephone Number: *
Mother’s Work Telephone Number: *
Mother’s Email Address: *
Father’s Forename: *
Father’s Surname: *
Father’s Full Address: *
Father’s Home Telephone Number: *
Father’s Mobile Telephone Number: *
Fathers Work Telephone Number: *
Father’s Email Address: *
Emergency Contacts
Please give details of any other person(s) you wish to be contacted in an emergency if we cannot contact a parent. Place them in order you wish them to be contacted.
1st Emergency Contact:
Contact Forename *
Contact Surname *
Address: *
Telephone No.: Home/work/other *
Relationship to child: *
2nd Emergency Contact:
Contact Forename: *
Contact Surname: *
Address: *
Telephone No.: Home/work/other *
Relationship to child: *
Are you a Trafford resident? *
Required
If no, please name your Local Authority:
Passport Information  (for UCAS purposes)
(Student) Do you hold a valid UK Passport? *
Parents Education (for additional support, funding and scholarships purposes)
Have either biological parent complete an undergraduate degree? *
Medical Information/ Medical Concerns
Doctor’s Surgery and Address: *
Any medical concerns that the College should be aware of or does your child take any medication *
In the event that your child has a minor ailment (such as a headache) do you give permission for a member of staff to give them appropriate treatment/medication including paracetamol without calling home? *
Special Educational Needs or Details of any disability *
Is your child eligible for free school meals? *
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