(The name he/she preferred to be called if different from first name)
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Date of Birth *
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Gender *
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First Language *
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Second Language *
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Ethnicity *
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Child number
(Please state if he/she is the eldest, youngest, middle or only child)
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School
(Which school to they attend for the National Curriculum?)
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Which day would you like your child to attend (Tick relevant day) *
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Special Educational Needs (SEN)
Please write details of any conditions, e.g, dyslexia, autism, etc., your child has. Please provide the school with a copy of any relevant SEN reports or ILPs (Individual Learning Plans) your child has.
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Medical Notes
Please write details of any medical conditions, e.g., asthma, epilepsy, allergies, diabetes etc., your child has. Please provide details of any medicine your child takes regularly or in emergencies.
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Islamic Education
Please write the name of the teacher or institute he/she previously studied under and what they learned.
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