LBTS Supplementary Information Form

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For Year 7 Entry September 2023
1. Remember, you must complete the Common Application Form and send it to your Local Authority
2. The closing date for submission of this form to Lilian Baylis Technology School is Monday 31st October 2022

Email *

Childs' first name *

Childs' middle name(s)

Childs' surname(s) *

Childs' gender *

Female

Male

Childs' date of birth *

YYYY

Is there a Twin/ Triplet/ Half Brother/ Sister also applying for Year 7 admission in September 2023? *

Yes (Please also apply separately for each child)

If yes please give their name(s)

Parent/Carers' title *

Miss

Mrs

Parent/Carers' first name *

Parent/Carers' surname *

What is your relationship to the child? *

Mother

Father

Carer

Sibling

Family relative

Family friend

Parent/Carers' contact number *

Childs' address line 1 (house number and name) *

Childs' address line 2 (street name) *

Childs' postcode *

Childs' borough of residence *

Will a brother or sister be on roll at Lilian Baylis Technology School in September 2023? *

Yes

If yes please give their full name and year group

Looked After Child: Is your child under the care of the Local Authority? *

Yes (Please post evidence to the school addressed to Miss Duff)

Social/Medical: Do you consider your child to have an exceptional social or medical need which can only be met by Lilian Baylis Technology School? *

Yes (Please post evidence to the school addressed to Miss Duff)

Name of childs' primary school *

Borough of childs' primary school *

Please choose which school you would like your child to do their test. NOTE: Your child can only sit the test at one school across Lambeth as they are on the same date. You must complete the SIF for the school you have chosen, if not Lilian Baylis, so they are aware you would like to do the test with them. We only send letters to parents who have chosen Lilian Baylis. Keep the school you choose to do the test at consistent throughout all your applications. *

Dunraven (please also complete their SIF)

Lilian Baylis Technology School

Norwood (please also complete their SIF)

Platanos College (please also complete their SIF)

Lambeth Academy (please also complete their SIF)

Does your child have any health problems, special educational needs or difficulties regarding gaining entry to Lilian Baylis Technology School buildings that we need to be aware of for the Admission Test? E.g. epilepsy, hearing or sight problems, dyslexia or mobility issues. *

Yes (Please post evidence addressed to Miss Duff)

Does your child have any medical conditions? E.g asthma and allergies *

Yes

If your child has a medical condition please state here what it is (please ensure your child has their medication on them on the day of the test)

Declaration: I understand that any false or deliberately misleading information given may render this application invalid or lead to the offer of a place being withdrawn. *

Yes

Signature of Parent/Carer *

Date of submission *

YYYY

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