Great Preston Vc Cofe Primary School
- Survey
Great Preston C of E Primary School Application for Admission
Please complete and submit the information below as soon as possible. All data is collected in line with UK-GDPR. We look forward to welcoming your child in September.
PLEASE COMPLETE ALL FIELDS- USE N/A IF NOT APPLICABLE
Details of the pupil:
Q1. Legal Forename :
Q2. Middle name(s):
Q3. Legal Surname:
Q4. Chosen name (if different to above):
Q5. Gender:
Female
Male
Other
Please provide details below
Q6. Date of Birth:
Q7. Home Address
Street :
Town :
Postcode :
Telephone No. :
Q8. Please provide details (Name & D.O.B) of any siblings who are attending or have previously attended our school:
Q9. Previous Nursery/Pre School details :
Name of Nursery/Pre School:
Address:
Start & leaving date :
Contact details : Please provide details for at least 2 people who can be contacted in an emergency. As a parent/carer you have sought permissions from your emergency contacts to share their data with school.
Q10. Contact 1
Title :
First Name :
Surname :
Relationship to child (e.g mother/father/step-parent) :
Address (If different to above):
Daytime Telephone No.
Daytime place (if not home):
Mobile No :
Email address :
Contact priority no. (eg 1st, 2nd)
Q11. Does Parent/Carer 1 have legal parental responsibility?
Yes
No
Q12. Is either parent currently serving or recently retired from the Armed Forces?
Yes
No
Q13. Contact 2:
Title :
First Name :
Surname :
Relationship to child (e.g mother/father/step -parent) :
Address (If different to above) :
Daytime telephone No :
Daytime place (if not home) :
Mobile No. :
Email address :
Contact priority no. (eg 1st, 2nd)
Q14. Does Contact 2 have legal parental responsibility?
Yes
No
Q15. Contact 3:
Title :
First Name :
Surname :
Relationship to child (e.g mother/father/step-parent) :
Address (If different to above) :
Daytime telephone no. :
Daytime place:
Mobile no. :
Email address :
Contact priority no. (eg 1st, 2nd)
Q16. Does contact 3 have legal parental responsibility?
Yes
No
Q17. Contact 4:
Title :
First Name :
Surname :
Relationship to child (e.g mother/father/step-parent) :
Address (if different to above) :
Daytime telephone no. :
Daytime place (if not home) :
Mobile no. :
Email address :
Contact priority no. (eg 1st, 2nd)
Q18. Does contact 4 have legal parental responsibility?
Yes
No
IMPORTANT INFORMATION:
All children in Reception, Year 1 and Year 2 will receive a Universal Infant Free School Meal HOWEVER it is important you notify school if you believe your child is also entitled to a Free School Meal due to low family income. If this is the case, school will be able to claim additional funding from the DfE to support your child.
Further information and the application form to claim free school meals can be found on the Leeds City Council website - https://www.leeds.gov.uk/residents/council-tax-and-benefits/free-school-meals
Q19. Is your child entitled to Free School Meals due to your financial circumstances? (see information above)
Yes
No
Q20. Meal choice:
School Meal (Universal Infant Free School Meal - Free school meal for all pupils in reception, year 1 and year 2 )
Packed Lunch
Free School Meal Eligible
Medical Information :
Q21. Doctor's Name :
Q22. Surgery address :
Q23. Surgery Telephone no. :
Q24. Medical conditions/allergies/special dietary requirements :
Q25. Travel Arrangements: Please select your child's main mode of transport to school
Walk
Cycle
Car Share
Car/Van
Public Bus
School Bus
Train
Taxi
Other
Ethnic Details:
Q26. Ethnicity:
Any other black background
Any other ethnic group
Any other mixed background
Bangladeshi
Black - African
Black Caribbean
Chinese
Gypsy
Gypsy/Roma
Indian
Kashmiri other
Kashmiri Pakistani
Other Asian
Other Gypsy/Roma
Other Pakistani
Refused
Roma
Traveller of Irish heritage
White - British
White - Irish
White and Asian
Q27. First language:
Q28. Religion:
Buddhist
Christian
Hindu
Jewish
Muslim
No religion
Other religion
Refused
Sikh
Q29. I give permission for the school to text and email using third party services for the purpose of communication.
Yes
No
Submit