Admissions Application - Primary School

Application for School Place

Nursery and Primary School
Childs Details
Legal Name*

Legal First NameLegal Last Name
Preferred Name*

Preferred First NamePreferred Last Name
Date of birth*
Childs date of birth
Child's Gender
Address*

Street Address

Street Address Line 2

CityState / Province

Post Code
Parent/Carer Details
Full name of mother/guardian

PrefixFirst NameLast Name
Occupation
Phone Number

Area Code eg +44Phone Number
Full name of father/guardian

PrefixFirst NameLast Name
Occupation
Phone Number

Area Code eg +44Phone Number
Email Address:
example@example.com
Email Address:
example@example.com
Sibling Name attending school already (if applicable)

First NameLast Name
Who has Parental Responsibility for your child?
If other please state
Collection from school

Please note any person who is not on this list will not be allowed to collect your child/ren without prior consent
Full name of emergency contact 1

PrefixFirst NameLast Name
Relationship to child
Full name of emergency contact 2

PrefixFirst NameLast Name
Relationship to child
Additional Persons Authorised to Collect Children
Any persons on this list must be aged 16 or over
Medical and Dietary Requirement's
Please list any dietary requirements for your child. EG, Halal, vegetarian, vegan, any allergies
Name of GP Practice
Address of GP practice

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Has your child had all the relevant vaccinations:

YesNo
Does your child have any special educational needs?*
Ethnic and Cultural Details
Ethnic Origin

White British/Irish/Welsh/ScottishAny other White background European, Eastern EuropeanWhite and AsianGyspy/RomaAny other mixed backgroundPakistani/BangladeshiAny other Asian background Sri LankanBlack AfricanBlack NigerianBlack GhanianAny other Black backgroundChineseAfghanArab otherEgyptianIranianIraqiKurdishLibyanLatin/Central/South AmericanYemeniRefusedOther
Child's country of birth
Child's nationality
Language spoken at home
Religion

BuddhistChristianHinduJewishMuslimSikhNo religionOther religionRefused
Please state if your child has any specific religious requirements (prayer, diet or dress)
Are you seeking asylum in the UK?

YesNo
Other Details
Have you had social care involvement, e.g. social worker?

YesNo
If yes please provide details
Has your child attended another school in the UK?

YesNo
If yes please provide details - school name and address
Has your child attended another school outside the UK?

YesNo
If yes please provide details - school name and address
Consent

If you do not complete below you will not be able to submit this form.
Home School Agreement
Anfield Road Primary Home-School Agreement is a statement explaining:
The school’s aims
The school’s responsibilities to the children
The responsibilities of parents
The expectations we have for our children

This is a simple agreement between us the school, our children and their parents which outlines ways in which we can work together to create and maintain positive relationships for the benefit of the children as they journey through school.

Home School Agreement
I have read, understood and agree to the terms outlined in the home school agreement policy above.
Uniform Policy
As a school we have the highest expectations for our children in their work, their behaviour and the way they dress. Our policy is that all children at Anfield Road Primary School should wear clothing that is in keeping with a purposeful learning ethos. When you choose Anfield Road Primary School for your child you are choosing to partner with us and to stand by our school ethos. By signing this form you are confirming that you have read the school Uniform Policy.

Uniform Policy
I have read, understood and agree to the terms outlined in the uniform policy above.
Jewellery Disclaimer
Anfield Road Primary School do not allow children to wear jewellery. There is always a risk that jewellery may cause accidents during P.E. lessons and during playtime. There is also a risk that items may get lost while at school. If you choose to send your child to school wearing jewellery this is against our school policy and school will not accept any responsibility for any accidents that are caused, either directly or indirectly, by your child wearing jewellery. Should you make the decision to let your child wear jewellery while on school premises you are doing this at your own risk and in these circumstances we require a signed disclaimer confirming that you understand that school are not held responsible for any accidents or loss of jewellery while your child is on school premises. Please note, your child will not be allowed to do PE or go swimming if they are wearing jewellery until we have a signed disclaimer; removing schools responsibility should an accident or loss occurs.
I have read, understood and agree to the terms outlined in the above regarding jewellery.
Additional Consent
I give permission by ticking below for my child to take part in the following activities:*

Sample different food during cookeryUse camera and media equipment in schoolBe photographed and videoed for publication purposesParticipate in school visitsNone of the above
Declaration
As your child is admitted to school, it is necessary for the details on this form to completed are are accurate. This form will enable Anfield Road Primary School and the local authority to monitor provision for individuals and groups of pupils, ensuring equality of opportunity. The information provided on this form will be processed in accordance with the requirements of the Data Protection Regulations 2018. In the unlikely event of an emergency, school will need to contact you as quickly as possible. Therefore, it is necessary to inform school immediately if any of these details change, for example telephone number or address.
Parent/Carer Signature

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Supporting Documents
Please upload a photograph of your child's birth certificate to complete the process
Please upload a photograph of proof of your address to complete the process this can be a household bill.
Should be Empty:

Application for School Place

Childs Details

Parent/Carer Details

Collection from school

Medical and Dietary Requirement's

Ethnic and Cultural Details

Other Details

Consent

Declaration

Supporting Documents