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Please fill in the following information to register your child for a place in our main school.
CHILD’S SURNAME:______________________
OTHER NAMES:_________________________
DATE OF BIRTH:_________________
SEX Male: 
Female:
ADDRESS:__________________________
__________________________________
__________________________________
POST CODE:____________
HOME PHONE:______________________
PREVIOUS SCHOOL (If applicable):_______________________
PREVIOUS SCHOOL PHONE NO:______________________
PARENT(S)/GUARDIAN(S) (Full names please):
1) ___________________________________________
2) ___________________________________________
Contact 1:
Name:_______________________
Relationship:__________________
Place of contact:_______________
Tel number:__________________
Contact 2:
Name:_______________________
Relationship:__________________
Place of contact:_______________
Tel number:__________________
Other children in family, Names, Date of Birth:__________________________
____________________________________________________________
DOCTORS NAME:______________________
ADDRESS:______________________
______________________
TELEPHONE NO:______________________
MEDICAL HISTORY:(Does your child suffer from any medical condition? Please give details)
_________________________________________________________
_________________________________________________________
LUNCH ARRANGEMENTS
Free School Meal
Paid Meal
Home
Packed Lunch
Requested date of admission:______________________
Taylor Road, Altrincham, Cheshire. WA14 4LE. Tel: 0161 926 8646