Mid-Year Application for a School Place at Brinkley Grove Primary School
You should not remove your child from their current school until a place has been secured elsewhere.

Once your application is submitted we will process it within 15 school days.

Brinkley Grove Primary School fully complies with information legislation. For the full details on how we use your personal information please follow the link https://brinkleygrove.essex.sch.uk/privacy-policy or call 01206 852266 if you are unable to access the internet.

(The dates on the form are shown in the format MM/DD/YYYY)
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Email *
Confirm Email *
Pupil's surname *
Pupil's first name(s) *
Date of birth  *
MM
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DD
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YYYY
Current year group *
Gender
Clear selection
Current school name and address (or last school attended) *
Reason for leaving current school *
Is your child still attending this school? *
If not currently in school when was their last date of attendance?
MM
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DD
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YYYY
If your child is known by any other name please add it here
Home address *
Parent/Carer Title *
Parent/Carer name *
Relationship to child *
Home phone number
Mobile phone number *
Preferred date of admission *
MM
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DD
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YYYY
If moving into the area, date of move
MM
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YYYY
New address if different to question 10
Have you discussed your reasons for wanting a different school for your child with their current school? *
Has your child attended any other schools? *
If Yes please give details
Is your child cared for by a Local Authority or is he/she a previously looked after child? *
Does your child have an Educational Health Care Plan (EHCP previously known as a statement)? *
Are there any exceptional medical reasons why the child should specifically attend this school (in accordance with the school's Admissions Policy)? If 'Yes' we will contact you and request supporting evidence from your child's doctor or other health care professional. *
Does your child have a sibling at Brinkley Grove? *
If 'Yes' please provide their name and date of birth.
Please share any further information you feel may be helpful.
Please confirm the information you have provided is correct and that you have parental responsibility for child you are applying for a school place for. *
Today's Date *
MM
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DD
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YYYY
A copy of your responses will be emailed to the address you provided.
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