CHS Infant & Junior School Application Form
More information about how we will need to process this information can be found on www.cheadlehulmeschool.co.uk/privacy

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Email *
Child's Details
Child's surname *
Child's first name *
Please indicate the name your child would like to be known by *
Child's date of birth *
Gender *
Required
Child's Address (inc. postcode) *
Proposed Date of Entry *
Year Group on Entry *
Required
Contact Details - Parent/Carer 1
Name (inc. title) *
Address (if different from child's)
Preferred Email address *
Phone number (mobile) *
Phone number (home)
Occupation
Relationship to child *
Contact Details - Parent/Carer 2
Parent/Carer 2 - Name (inc. title)
Parent/Carer 2 - Address (if different from child's)
Parent/Carer 2 - Email address
Parent/Carer 2 - Phone number (mobile)
Parent/Carer 2 - Phone number (home)
Parent/Carer 2 - Occupation
Parent/Carer 2 - Relationship to child
Current School/Nursery Information
Please note that CHS may seek a reference/report from your child's current school
Child's current School/Nursery (inc. address)
Name of Headteacher/Key worker
Email address for current School/Nursery
Date started at current School/Nursery
Previous schools and dates attended (if applicable)
CHS Connection
Please mention any connection with CHS (siblings, Old Wac's, any other family connection to CHS)
Additional Information
Please submit any relevant documents or reports to the Admissions Office, Cheadle Hulme School, Claremont Road, SK8 6EF
If your child has a specific learning difficulty, special learning need or disability please provide details
If your child has a medical condition (including allergies) please provide details
If your child is 'cared for', been previously 'cared for' by a Local Authority or adopted please provide details
My child's first language is *
Hobbies & Interests
Please outline details of your child's main hobbies and interests, including academic, artistic, dramatic, musical or sporting skills or experiences.
Hobbies & Interests *
Paying your £50 registration fee (non-refundable)
Payment can be paid via our online payment system. The link to the payment page can be found on the Admissions Section of our website, a link will also be sent via email along with a copy of the application form once it has been submitted.
Please confirm the date of the payment below.

Date of payment *
Declaration
Offers of places are subject to availability and the admission requirements of the School at the time offers are made. A copy of the current edition of the standard terms and conditions is available on the School website.  

We understand that the standard terms and conditions of the School will undergo reasonable changes from time to time as circumstances require and will apply in all our dealings with the School.

Signature *
Name of person submitting application *
What happens next?
Thank you for your application form, please now press submit below. A copy of the completed application form will be automatically emailed to you.

If you have any questions please contact The Admissions Team on 0161 488 3345 or email admissions@chschool.co.uk 
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