AHCC - New Year 7 Intake '24 Admission Form

AHCC - All Hallows Catholic College
Admission Form – Private & Confidential
Child's Legal Full Name*

First NameLast Name
Child's Preferred Name eg. Forename/Surname (if different from above)
Home Address*

Street Address

Street Address Line 2

TownCounty

Postcode
Home Telephone No:*
Childs Sex:*

MaleFemale
Date of Birth*

DayMonthYear
Date
Name of siblings attending All Hallows Catholic College
EMERGENCY CONTACTS:

Please give details of at all persons who have legal and/or parental responsibility for the above student and anyone else you wish to be contacted in an emergency.

Place them in the order you wish them to be contacted. If you can provide upto 4 contacts.
CONTACT 1 Full Name*
Title (Dr/Mr/Mrs)*
Home Address*
Postcode*
Email Address*
example@example.com
Phone Number*

Area CodePhone Number
Daytime Work Place*
Daytime Phone Number*

Area CodePhone Number
Mobile Phone Number*
Relationship To Student*
Parental Responsibility*

YesNo
CONTACT 2 Full Name*
Title (Dr/Mr/Mrs)*
Home Address*
Postcode*
Phone Number*

Area CodePhone Number
Email Address*
example@example.com
Daytime Work Place*
Daytime Phone Number*

Area CodePhone Number
Mobile Phone Number*
Relationship To Student*
Parental Responsibility*

YesNo
CONTACT 3 Full Name
Title (Dr/Mr/Mrs etc)
Home Address
Postcode
Home Phone Number

Area CodePhone Number
Email Address
example@example.com
Daytime/Work Place
Daytime Phone Number

Area CodePhone Number
Mobile Phone Number
Relationship to Student
Parental Responsibility

YesNo
CONTACT 4 Full Name
Title (DR/Mr/Mrs etc)
Home Address
Postcode
Home Phone Number

Area CodePhone Number
Email Address
example@example.com
Daytime/Work Place
Daytime/Work Phone Number

Area CodePhone Number
Mobile Phone Number
Relationship To Student
Parental Responsibility

YesNo
Medical Information - Doctors Surgery Address*
Doctors Telephone Number:*
MEDICAL CONDITIONS AND MEDICATIONS

Please indicate the severity of any medical condition or medication your child may require by emailing the Medical Needs Co-ordinator, this is to ensure our records are upto date before your child starts All Hallows Catholic College.

A care plan should be completed and returned to the Medical Needs Co-ordinator these can be found on the College website.

Medical Needs Co-ordinator

Miss Walker medical@allhallows.org.uk

It is the Parent / Carer's responsibilty to inform the College of any changes of your child's medical condition or medication immediately.
MEDICAL CONDITIONS AND MEDICATIONS
Under the Children's Act 1989 we are obliged to ask you if any other person has a legal parental responsibility whose rights we must honour - Name & Address:
Additional Information - Ethnic Group *
Please Choose From The Drop Down Box
What is the Main Language Used at Home*
First Language/Mother Tongue*
USEFUL INFORMATION FOR THE COLLEGE (NOT STATUTORY)
Is Your Child a Baptised Roman Catholic?*

YesNo
If No. Please State Religion/Christian Denomination
Parish In Which Your Child Now Lives
Has Your Child Made His/Her First Holy Communion?

YesNo
Been Confirmed?

YesNo
REQUIRED INFORMATION
The College can claim additional funding for your child if they were adopted from care. Please indicate:*

YesNo
Lunchtime:*

Paid College DinnerFree College DinnerSandwiches
Method of Travelling to College*
Previous School (Name, Address & Phone No Please)
Browse Files

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FOR SECURITY REASONS PLEASE GIVE:
Signature of Mother/Guardian:

Clear
Signature of Father/Guardian:

Clear
Should be Empty:

AHCC - All Hallows Catholic College

Admission Form – Private & Confidential

USEFUL INFORMATION FOR THE COLLEGE (NOT STATUTORY)