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Ellenborough and Ewanrigg Infant School
School Booking Form
13
Questions
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1
Child’s Name
*
This field is required.
If you have more than 1 child, enter their names together.
First Name
Last Name
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2
My child ...
*
This field is required.
Has a Social Worker or Early Help Plan
Has an Education Health Care Plan (EHCP)
Has a parent that is a Key Worker
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3
Free School Meals
*
This field is required.
Please indicate if you currently receive Free School Meal Vouchers
My child receives Free School Meals
My child DOES NOT receive Free School Meals
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4
Name of Parent
*
This field is required.
Type your name here.
First Name
Last Name
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5
Phone Number
*
This field is required.
Please enter your e-mail address.
Area Code
Phone Number
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6
Email Address
*
This field is required.
Please enter your e-mail address.
example@example.com
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7
Occupation
If you are a Key Worker, list your occupation here.
If you are NOT a Key Worker - write N/A.
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8
Employer Contact Details
If you are a Key Worker, please enter: Place of Work: Address, Telephone and E- Mail Address.
If you are NOT a Key Worker - write N/A.
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9
Social Worker or Early Help Leader
Type the name of your child's Social Worker or Early Help Lead.
If you are a Key Worker - write N/A.
First Name
Last Name
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10
Social Worker Contact Details
If your child has a Social Worker or Early Help Plan, please enter the Social Worker's: Telephone and E- Mail Address.
If this does not apply to you - write N/A.
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11
Please indicate when your child will need to attend school.
*
This field is required.
Children should only attend when they need to.
Friday 12th February
Thursday 11th February
Monday 22nd February
Tuesday 23rd February
Wednesday 24th February
Thursday 25th Februaury
Friday 26th February
Monday 1st March
Tuesday 2nd March
Wednesday 3rd March
Thursday 4th March
Friday 5th March
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12
Home School Agreement
Please read the Home-School agreement carefully.
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13
I have read, understood and agree to the Home-School Agreement.
*
This field is required.
The Home-School Agreement is available on the School Website
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