Application Form

Application Form
Child's Details
Full Name *

First Name Last Name
Date of Birth *

Day Month Year
Date
Gender *
Nationality *
Citizenship *
Religion
Ethnicity
Current Year Group *
Year group on Entry *
Year of Entry *
First Language
Unique Pupil Number (UPN)
Current School Name
Parent / Guardian Details
Mother / Guardian *

First Name Last Name
Father / Guardian

First Name Last Name
Address *
Address
Email: *
example@example.com
Email:
example@example.com
Mother's Mobile Number: *
Father's Mobile Number:
Work Tel:
Work Tel:
Home Tel:
Home Tel:
Occupation
Occupation
Emergency/Other Contact's
Next of Kin *

First Name Last Name
Mobile Number: *
Relation to child *
Emergency Contact

First Name Last Name
Mobile Number:
Relation to child
Guardian

First Name Last Name
Mobile Number:
Home Tel:
Address
Email
example@example.com
Please fill out the following to help us address your child’sneeds
Does your child have any physical or learning disabilities? *

Yes No
If yes please describe: i.e if your child has been tested by a specialist/professional, please indicate year of test *
Has your child ever received counselling support for emotional difficulties? *

Yes No
If yes please describe: *
Has your child ever been enrolled in a Special Needs Programme (SEN)? *

Yes No
If yes please describe: *
Does your child have any known medical conditions, health problems or allergies? *

Yes No
If yes please describe (please provide any additional health reports and gp details separately. You can provide the school with additional repeat presciptions to store in the school medical room) : *
Hobbies & Interests

Siblings of Applicant

	Full name	D.O.B	Current Year group
Details
Details
Deatils

How did you hear about us? *

Social Media Google Search Friends and Family Magazine Leaflet Local area Current School
Do you require any of the following services (additional fees apply)

Minibus (subject to availability) School Lunch Boarding
Photo Consent - I give NLGS permission to take photos of my child for use in school marketing material *

Yes No
Child's Idenfication Document

Browse Files
Please Upload 1 Photo Identfication Document (Passport, Citizenship card, Permit Card) Cancel of
Declaration

I/we have read the NLGS Admission Policy and agree to the terms and conditions stated therein. If my/our child is admitted to NLGS I/we agree to pay all fees outlined in the NLGS terms and conditions
Mother / Guardian *

First Name Last Name
Date *

Month Day Year
Date
Signature *

Clear
Father /Guardian

First Name Last Name
Date

Month Day Year
Date
Signature

Clear
Should be Empty:

Application Form

Declaration