Admissions - September 2023

LINCOLNSHIRE COUNTY COUNCIL PARTICULARS OF CHILD ON ADMISSION TO QUEEN ELIZABETH’S HIGH SCHOOL.

Please note, this information may be computerised and used for administrative purposes within Lincolnshire County Council. All personal information computerised by the Council has to be registered and may be used and disclosed only as described in the Data Protection Register.

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Email *
Child's Details
Legal forename: *
Legal surname *
Known name: *
Date of birth: *
MM
/
DD
/
YYYY
Gender: *
Home telephone number: *
Mobile number: *
Address line 1: *
Address line 2: *
Town: *
Post code: *
Details of Parents/Guardians who reside with the child
PARENT/GUARDIAN 1
Title and full name: *
Relationship to child: *
Do you have legal parental responsibility? *
Mobile number: *
Work number: *
Email address: *
PARENT/GUARDIAN 2
Title and full name:
Relationship to child:
Do you have legal parental responsibility?
Clear selection
Mobile number:
Work number:
Email address:
Details of other persons who have legal parental responsibility (if different from the above)
Title and full name:
Relationship to child:
Home address:
Mobile number:
Work number:
Email address:
May we contact in an emergency?
Clear selection
Details of two further emergency contacts
CONTACT 1  
Title and full name: *
Relationship to child (i.e. relative/friend of family etc.): *
Daytime number/Mobile number: *
CONTACT 2
Title and full name:
Relationship to child (i.e. relative/friend of family etc.):
Daytime number/Mobile number:
Contacts in case of an emergency - Please list below by name in order of preference who to contact in an emergency - minimum 4:
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