JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Cricklereaders Juniors Application Form
To apply for a place from September 2023, please use this form. Children must be aged between 7 and 11 at the time of starting in September.
Please use more than one form if you are applying for more than one child. Please note places are limited!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name of Child
*
Your answer
Last Name of Child
*
Your answer
Date of Birth of Child
*
PLEASE NOTE, THE BOOK GROUP IS OPEN TO CHILDREN AGED 7-11
MM
/
DD
/
YYYY
Sex of child
*
Female
Male
Ethnicity of child
(
We need this information to make sure that we’re giving equal opportunities to all children)
*
Choose
Asian or Asian British - Indian
Asian or Asian British - Pakistani
Asian or Asian British - Bangladeshi
Asian or Asian British - Chinese
Any other Asian background
Black or Black British - Caribbean
Black or Black British - African
Any other Black or Black British background
White and Black Caribbean
White and Black African
White and Asian
Any other mixed or multiple ethnic background
White English, Welsh, Scottish, Northern Irish or British
Irish
Gypsy or Irish Traveller
Any other white background
Arab
Any other ethnic group
Child's First Language
*
Your answer
Which primary school does your child attend?
*
Your answer
Does your child have any allergies we should know about
*
Your answer
May we have your permission to use photographs of your child in social media to publicise the book group?
*
Yes
No
First Name of parent/carer
*
Your answer
Last Name of parent/carer
*
Your answer
Mobile number for parent/carer
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Friends of Cricklewood Library.
Report Abuse
Forms
