Application Form
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LLANILLTUD FAWR PRIMARY & NURSERY SCHOOL ADMISSION FORM
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Please check that the information below is correct and then fill in the other details as appropriate
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Surname: ..
Forename: .
Middle Name(s)
Chosen Name:
Date of Birth: .
Gender (F/M)
Address: .
Postcode:
Home Telephone No.
Mobile Tel. No: .
Medical Information:
Name of Doctor:
Address of Doctor/Practice:
Medical conditions or information that you wish the school to record:
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Educational History:
School Address DOA DOL
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.. ..
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.. ..
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Dinner Arrangements Please tick appropriate box
[ ] School dinner Free [ ] School dinner paid [ ] Sandwiches [ ] Home [ ] Other
Travel Arrangements Please tick appropriate box
[ ] Bicycle [ ] Bus [ ] Car [ ] School coach [ ] Taxi [ ] Train [ ] Walks [ ] Other
Siblings:
If there are older brothers or sisters in the school, please give
The name and present year group of the next oldest child.
Ethnicity:
Ethnic origin: ..
Home Language: ..
Religion: .
Signature(s): . (Parent/Guardian)
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Please add contact details overleaf |