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2023 RECEPTION CONTACTS
New Reception Data Information
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* Indicates required question
Email
*
Your email
Child's Legal Surname
*
Your answer
Child's Preferred Surname
Your answer
Child's First Name
*
Your answer
Child's Preferred First Name
Your answer
Child's Middle Names
Your answer
Child's Date of Birth (dd/mm/yyyy)
*
MM
/
DD
/
YYYY
Child's Gender
*
Female
Male
Prefer not to say
Postcode
*
Your answer
Full Home Address
*
Your answer
Parent 1 - Full Name
*
Your answer
Parent 2 - Full Name
*
Your answer
Parent 1 - Mobile Number
*
Your answer
Parent 2 - Mobile Number
*
Your answer
Parent 1 - Email address
*
Your answer
Parent 2 - Email address
*
Your answer
What is the best email address to contact you on as a family?
*
Your answer
Parent 1 - Occupation
*
Your answer
Parent 2 - Occupation
*
Your answer
Other Contact Name
*
Your answer
Other contact telephone number
*
Your answer
Other contact relationship to child
*
Grandparent
Other Relative
Friend/Neighbour
Other
Any special dietary needs (e.g. vegetarian, halal, no pork, gluten free, dairy free...)
*
Your answer
Any medical conditions/allergies
*
Your answer
Other medical notes (e.g. speech therapy, grommets)
*
Your answer
GP Surgery
*
Your answer
Child's Ethnicity
*
White British
White Irish
White and Asian
White European
White and Black Caribbean
White Other
Bangladeshi
Black African
Black Caribbean
Any other Black Background
Chinese
Any other Asian Background
Gypsy
Indian
Pakistani
Roma
Other Gypsy/Roma
Traveller of Irish Heritage
Any other Ethnic Group
Any other Mixed Background
Prefer not to say
Child's National Identity
*
British
English
Welsh
Scottish
Irish
Other
Prefer not to say
Traveller
*
Yes
No
Home Language
*
Your answer
First Language
*
Your answer
Country of Birth
*
Your answer
Religion
*
Anglican
Bahai
Baptist
Buddhist
Christian
Christian Science
Church of England
Church of Scotland
Greek Orthodox
Orthodox
Other Christian
Hindu
Islam
Jehovah's Witness
Jewish
Methodist
Muslim
Protestant
Roman Catholic
Russian Orthodox
Sikh
United Reform Church
No Religion
Other Religion
Prefer not to say
Previous Playgroup
*
Your answer
Mode of Transport to School
*
Walk
Cycle
Car
Car share
Bus
Train
Other
Names and dates of birth of any siblings
*
Your answer
What is the name of your child's current pre-school setting, if they attend one? (Please put no setting if your child does not attend)
*
Your answer
What days does your child attend this pre-school setting?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Does not attend a pre-school setting
Required
Will you require printed copies of the starting school documents that we need to share with you?
*
Yes
No
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