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Banks Lane Infant and Nursery School - Leaver Form
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* Indicates required question
Name of child
*
Your answer
Current class
*
Nursery
Class 1
Class 2
Class 3
Class 4
Class 5
Class 6
Class 7
Class 8
Class 9
Date of birth
*
MM
/
DD
/
YYYY
Current address
*
Your answer
New address
*
Your answer
Leaving date
*
MM
/
DD
/
YYYY
Name of the school your child will be attending
*
Your answer
Local authority
*
Your answer
Start date
*
MM
/
DD
/
YYYY
Signature (Enter full name of parent)
*
Your answer
Date
*
MM
/
DD
/
YYYY
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