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Pupil Data Collection Form
Part 1: Student General Information
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* Indicates required question
Email
*
Your email
Child's Legal Surname
*
Your answer
Child's Legal Forename
*
Your answer
Child's Middle Name
Your answer
Year entering
*
Choose
Nursery
Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Year 13
Child's Preferred Surname
*
Your answer
Child's Preferred Forename
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Child's Gender
*
Female
Male
Prefer not to say
Main language spoken at home
*
English*
Other:
Other languages spoken
Your answer
Ethnicity
*
White Britsh
White Irish
Black British
Black Carribean
Black African
Indian
Pakistani
Bangladeshi
White & Black Carribean
White & Black African
White & Asian
Chinese
Prefer not to say
Other:
Usual mode of travel to the Academy
*
Bicycle
Walk
Car
Taxi
Public Transport
Usual lunch arrangements
*
School Lunch
Packed Lunch
Number of siblings
*
Your answer
Please provide details of any siblings currently attending Bede Academy (Name, Year Group, Tutor)
Your answer
Service Child
*
Where a parent is serving in regular HM Forces and exercising parental care and responsibility (this does NOT include the Territorial Army) parents should be designated as personnel category 1 or 2 as per MoD website.
Yes
No
Please select any that apply
Adopted
Under a Special Guardianship Order (SGO)
Under a Residence Order (RO)
Under a Child Arrangement Order
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