CCF Application Form
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Email *
Student Forename *
Student Surname *
Initials
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Ethnicity - Please choose from : Not Specified:White British:White Irish:White Other:Mixed:Asian Indian:Asian Pakistani:Asian Bangladeshi:Asian Other:Black Caribbean:Black African:Black Other:Chinese:Arab Other:Latin/South/Central American:Chosen Not To Declare *
NOK Name
NOK Relationship: Chose from Aunt, Brother, Carer, Daughter, Family Friend, Father, Foster Parent, Grandparent, Guardian, Husband, Mother, Partner, Sister, Son, Step Father, Step Mother, Uncle, Wife, Other
NOK Address Line 1 *
NOK Address Line 2 *
NOK Town *
NOK County *
NOK Postcode
NOK Phone *
NOK - Email
Student Email
Medical - None for no medical conditions or choose one or more from this list - Other:Adhd:Asthma:Amputation:Animal Dander Allergy:Antibiotics Allergy:Aspirin Allergy:Autistic Spectrum Condition:Back:Blindness Full:Blindness Partial:Concentration:Coordination:Conduct Disorder (Cd):Dexerity:Dyslexia:Dyspraxia:Deafness Full:Deafness Partial:Diabetes Type 1:Diabetes Type 2:Dust Mite Allergy:Eczema:Epilepsy:Hay Fever:Head:Heart:Haemophilia:Incontinence:Ibuprofen Allergy:Insect Bite Allergy:Insect Sting Allergy:Learning:Latex Allergy:Memory:Migrane:Mobility:Mould Allergy:Musculoskeletal Disorders:Objects:Ocd:Oppositional Defiant Disorder (Odd):Osteogenesis:Ptsd:Rheumatic:Risk:Speech:Sickle Cell NOTE: When multiple apply separate with a colon, e.g. Asthma:Hay Fever.
Dietary -  Enter None for no dietary requirements or choose one or more from this list - Other:Celery Allergy:Crustacean Allergy:Dairy Allergy:Fish Allergy:Gluten Free:Halal:Kosher:Lupin Allergy:Mollusc Allergy:Mustard Allergy:No Beef Products:No Egg Products:No Pork Products:Peanuts Allergy:Sesame Seed Allergy:Soya Allergy:Sulphur Dioxide Allergy:Tree Nut Allergy:Vegan:Vegetarian:Wheat Allergy NOTE: When multiple apply separate with a colon, e.g. Dairy Allergy:Gluten Free. When specifying Other you must also enclose the other details in brackets, e.g. Other (some other details)
Which CCF section are you applying for? *
Please indicate if you can Swim *
Clothing Sizes (all in cm) - Head Circumference *
Neck *
Chest *
Waist *
Seat (or Hip) *
Inside Leg *
Dress/Skirt
Height *
UK Shoe *
I hereby give consent for my child to join the CCF at Calday  and take aprt in the activities provided (This must be completed by a parent or guardian) *
PHOTOGRAPHY PERMISSION: As part of our communications activity, we occasionally use photography for publicity purposes. We would like your permission to photograph/film your child for possible inclusion in our publications, website and other publicity material. The image(s) will remain the property of Calday Grange Grammar School and will be used for the designated purpose of promoting school’s aims in relation to widening access to education. It may remain in the school image library for use by ourselves. Please indicate your consent for your child's image to be used *
A copy of your responses will be emailed to the address you provided.
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