Admissions – Howard Park Community. School. & Children's Centre.

Tell us why you are applying

If you are applying for Nursery - are you eligible for 30 HOURS FUNDING?

Basic details of Child

Name *

First

Middle

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Gender *

Date of Birth *//

Further details

Nationality *

Religion *

Ethnicity *

Language Spoken at Home *

How will you travel to school? *

Does the child have a parent serving in the British military? *

Free School Meal Eligibility

Medical details

Doctors Name

Medical Practice Name

Medical Practice Address

Medical Practice Contact Number

Do you give permission for the school to call the doctor in an emergency? *

Do you give permission for the school to administer first aid in an emergency? *

Please provide details of any medical conditions that the school should be aware of, and any emergency action that should be taken. (e.g. Asthma, Epilepsy, Allergies to bee stings, nuts or particular medicines etc.) We will arrange a meeting for precise detail once admitted.

Medical details

Checkboxes

None required

Contact details (FIRST CONTACT)

Title *

Name *

First

Last

Date of Birth (First Contact) *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

National Insurance Number

Home Phone

Mobile Phone

Work Phone

Email *

Confirm Email

Relationship to the child *

Does this contact have parental responsibility? *

Details pertaining to Court Orders

Contact details (SECOND CONTACT)

Title

Name

First

Last

Date of Birth (Second Contact)

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

National Insurance Number

Home Phone

Mobile Phone

Work Phone

Confirm Email

Relationship to the child

Does this contact have parental responsibility?

Details pertaining to Court Orders

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Parental Consents

Do you consent to school trips and activities? *

Do you consent that your child can receive first aid or urgent medical treatment? *

Do you consent that your child can visit places of worship? *

Do you consent that we can take photographs including your child for our Facebook page? *

Do you consent that we can take photographs including your child for use in school publications *

Do you consent that we can take photographs including your child for use on www.howardpark.co.uk or thesummershub.co.uk? *

Do you consent that we can take photographs/ videos including your child for use on school premises? *

Do you consent that your child can walk home from school in YEAR 5 and YEAR 6? *

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Please confirm that the details are correct *

I confirm that the details contained herein are accurate and correct

Data Protection Act 1998 – The School is collecting this data in order to meet its statutory responsibilities for the provision of education to children in accordance with the requirements of the Education Act 1996 and The School Standards and Framework Act 1998. Some of this data will be shared with the Local Authority and may be shared with other agencies that are involved in the health and welfare of school children.

We will be in touch with you very soon.

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