2026-2027 Year 6 Admission Form Question Title * 1. Child's Surname (as printed on birth certificate) Question Title * 2. Child's First Name (s) (as printed on birth certificate) Question Title * 3. Child's Middle Name (s) (as printed on birth certificate) Question Title * 4. Gender Female Male Question Title * 5. Child's Date of Birth Date Date Question Title * 6. Address Address 1 * Address 2 * Address 3 Post Code * Borough * Question Title * 7. Who has PARENTAL RESPONSIBILITY for the child? Mother Father Both Other (please specify) Question Title * 8. 1st Priority Contact Details Relationship to student Title Forename Surname Home Phone Number Mobile Phone Number Email Address Question Title * 9. 1st Priority - Do you live at the same address as stated in Q5? Yes No If No, please provide your address below Question Title * 10. 2nd Priority Contact Details Relationship to student Title Forename Surname Home Phone Number Mobile Phone Number Email Address Question Title * 11. 2nd Priority - Do you live at the same address as stated in Q5? Yes No If No, please provide your address below Question Title * 12. 3rd Priority Contact Details Relationship to student Title Forename Surname Home Phone Number Mobile Phone Number Question Title * 13. Do you have any other children that attend the school? (if yes, please provide each child’s full name and tutor group) 1. Child's Surname 1. Child's Forename 1. Tutor Group 2. Child's Surname 2. Child's Forename 2. Tutor Group 3. Child's Surname 3. Child's Forename 3. Tutor Group Question Title * 14. Is your child entitled to benefit related Free School Meals? (if you are in receipt of any benefits you may be elgible for FSM - you will need apply for this) Yes No Looked After Child Service Child Question Title * 15. What is your child’s ethnic group? Afghan African Asian Albanian Any other Asian background Any other black background Any other ethnic group Any other mixed background Any other white background Arab other Asian and any other ethnic group Asian and Black Asian and Chinese Bangladeshi Black - African Black - Angolan Black - Congolese Black - Ghanaian Black - Nigerian Black - Sierra Leonean Black - Somali Black - Sudanese Black and any other ethnic group Black and Chinese Black Caribbean Black European Black North American Bosnian-Herzegovinian Chinese Chinese and any other ethnic group Croatian Egyptian Filipino Greek Greek Cypriot Greek/Greek Cypriot Gypsy Gypsy/Roma Hong Kong Chinese Indian Iranian Iraqi Italian Japanese Kashmiri other Kashmiri Pakistani Korean Kosovan Kurdish Latin/South/Central American Lebanese Libyan Malay Malaysian Chinese Mirpuri Pakistani Moroccan Nepali Other Asian Other Black Other Black African Other Chinese Other ethnic group Other Gypsy/Roma Other mixed background Other Pakistani Other White British Pakistani Polynesian Portuguese Refused Roma Serbian Singaporean Chinese Sri Lankan other Sri Lankan Sinhalese Sri Lankan Tamil Taiwanese Thai Traveller of Irish heritage Turkish Turkish Cypriot Turkish/Turkish Cypriot Vietnamese White - British White - Cornish White - English White - Irish White - Scottish White - Welsh White and any other Asian background White and any other ethnic group White and Asian White and Black African White and Black Caribbean White and Chinese White and Indian White and Pakistani White Eastern European White European White other White Western European Yemeni Other (please specify) Question Title * 16. Nationality (as recorded on birth certificate/passport) Question Title * 17. Country of Birth Question Title * 18. Date of Arrival to UK (if applicable) Date Date Question Title * 19. First Language Question Title * 20. Main Language spoken at Home Question Title * 21. Religion Buddhist Christian Church of England Hindu Jewish Methodist Muslim No Religion Other Faith Other Religion Refused Roman Catholic Sikh Question Title * 22. How will your child travel to and from school? Please tick only ONE box (this should be the main part of their journey) Bus Car Cycle London Underground Train Taxi Walk Other (please specify) Question Title * 23. Is your child 'looked after' by the Local Authority? Yes No If Yes, what is the name of the Local Authority? Question Title * 24. What Primary School did your child attend? Question Title * 25. Has your child ever been excluded from school? Yes No If Yes, please provide details of exclusion(s) Question Title * 26. Are there any students that you would prefer not to have in your child's class? (e.g. not to be in the same tutor group, etc) Please give child's name where possible. Yes No If Yes, please state name of child(ren) if possible Question Title * 27. Is your child identified as having Special Educational Needs? Yes No If Yes, please specify Question Title * 28. Does your child have a medical condition? Yes No If Yes, please specify Question Title * 29. Does your child have a care plan? Yes No If Yes, please specify Question Title * 30. Does your child have any special dietary requirements? Artificial colouring allergy Gluten free Halal Kosher foods only No dairy produce No nuts of any type/quantity No pork Seafood allergy Vegetarian No dietary requirements Question Title * 31. I have read the information provided and give consent for my child's fingerprint to be captured (please see link below for information)https://acrobat.adobe.com/id/urn:aaid:sc:EU:8eec9400-3613-4895-bc00-ad0fdef8c98c Yes No Question Title * 32. I have read the information provided and give consent for my child to attend any trips/visits (please see link below for information)https://documentcloud.adobe.com/link/review?uri=urn:aaid:scds:US:6f30e667-9ad0-4b6a-9003-797593f919b2 Yes No Question Title * 33. I have read the information provided and give consent for photographs/images of my child to be used (please see link below for information)https://documentcloud.adobe.com/link/review?uri=urn:aaid:scds:US:2f74acf9-cced-4400-a233-0db30a8e60c8 Yes No Question Title * 34. I have read and understand the Home School Agreement (please see link below for information)https://acrobat.adobe.com/link/review?uri=urn:aaid:scds:US:81682a3e-01f6-38fa-8bf5-90ef1c5e7cae Yes No Question Title * 35. I have read and understand the Student Acceptable Use Agreement (please see link below for information)https://documentcloud.adobe.com/link/review?uri=urn:aaid:scds:US:38e0bd44-5828-40de-9eca-ce6848c160ef Yes No Question Title * 36. Please upload a copy of your child's birth certificate or passport Question Title * 37. Please upload proof of your address (i.e. utility bill) Question Title * 38. I, the parent/carer of the child named above, can confirm that I have completed this application form on behalf of my child to the best of my knowledge (please type your full name in the box below) Done