Pupil Registration Form

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Pupil Registration.

Email *

Child's Last Name *

Child's given name *

Date of Birth of Child. *

YYYY

Ethnicity *

White - British

White - Irish

White - any other White background

Mixed - White and Black Caribbean

Mixed - White and Black African

Mixed - White and Asian

Mixed - any other Mixed background

Asian or Asian British – Indian

Asian or Asian British – Pakistani

Asian or Asian British – Bangladeshi

Asian or Asian British - any other Asian background

Black or Black British – Caribbean

Black or Black British – African

Black or Black British - any other Black background

Chinese

Gypsy Roma

Travellers of Irish heritage

Any other ethnic group

Prefer not to say

Other:

Address *

Mother's Name *

Father's Name *

Mother's mobile number *

Father's mobile number *

Do both parents have parental responsibility for the child? *

Yes

If 'no' please give details

Are there any court orders pertaining to the education of the child *

Yes

If so please give details

Invoice Address (if different from above)

Current or Previous School *

Have there been disciplinary and emotional issues concerning this pupil? *

Yes

If so please give details

Has the pupil ever been excluded or suspended from a previous school? *

Yes

If so please describe

Has an educational evaluation been undertaken? *

Yes

If so please give details

Relevant medical information and medication *

Alergies *

GP's phone number

How did you hear about us

From a parent of an current or ex pupil

Web search

Good Schools Guide

Word of mouth

Another school

Educational placement organisation

Other:

Clear selection

Submit

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