Liscard Pirates & Captains Club

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Liscard Pirates & Captains Club - Admissions Form

Information about your child

Email *

BEFORE YOU BEGIN:

You will need all the following information to hand:

- Your child’s full details.
- Parent / carer details, including e-mail addresses, mobile numbers, places of work, work phone numbers
- The full contact details for any emergency contacts you have including address and mobile numbers.
- Your child’s medical needs/medication & Doctor’s name, address and phone number.
- Correct postcodes for all the above addresses.

Child's legal last name: *

Child's legal first name: *

Preferred first name (if applicable):

Preferred last name (if applicable):

Child's date of birth: *

YYYY

Does your child have any siblings at Liscard Primary School? If yes, please state names below: *

Home address including postcode: *

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