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About your Child
Name of Child (In Full)
Gender
Date of Birth
(dd/mm/yyyy)
Town of Birth
Nationality
Home Language
Religious Denomination
Home Address
City
Postcode
Parent/Guardian (1)
Parental Responsibility
Yes
No
Name
Surname
Relationship to Child
Occupation
Address (If Different to Child)
City
Postcode
Email
Mobile Number
Parent/Guardian (2)
Parental Responsibility
Yes
No
Name
Surname
Relationship to Child
Occupation
Address (If Different to Child)
City
Postcode
Email
Mobile Number
Educational Information
Previous Nursery/Preschool
Near Relatives Now or Previously at the College or Preparatory Departments
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Yes
No
Relative 1
Relative 2
Special Educational Needs
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Yes
No
Statement
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No
Provide Details of any Specific Educational Requirements
Medical Information
Medical History
Doctors Contact Details
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