020 8527 5991   school@handsworth.waltham.sch.uk   Handsworth Avenue, Highams Park, London, E4 9PJ  
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Admission Form

** This page is under development **

Child's Information

Forename(s)
Surname
Date of Birth
Gender
Male     Female

Place & Country of Birth For example: London United Kingdom
Nationality
Ethnicity
Religion

Main Language Spoken
Other Languages
Is fostered
Is adopted

Address
Post Code:

Mother

1st contact     2nd contact     3rd contact     4th contact

Title
Forename(s)
Surname
Legal responsibility
I am legally responsible for the child

Mobile Phone
Home Phone
Work Phone
Income Support
I receive income support

Email
Confirm Email
Password Password must be minimum 8 chars long with at least 1 numeric and 1 capital characters
Confirm Password

Address     As above
Post Code:

Country of origin
Nationality
Ethnicity
Main language

Occupation
Workplace Name
Workplace Address
Work hours
From:   To:

Father

1st contact     2nd contact     3rd contact     4th contact

Title
Forename(s)
Surname
Legal responsibility
I am legally responsible for the child

Mobile Phone
Home Phone
Work Phone
Income Support
I receive income support

Email
Confirm Email
Password Password must be minimum 8 chars long with at least 1 numeric and 1 capital characters
Confirm Password

Address     As above
Post Code:

Country of origin
Nationality
Ethnicity
Main language

Occupation
Workplace Name
Workplace Address
Work hours
From:   To:

Additional Contact / Guardian 1   +

Additional Contact / Guardian 2   +

Child's Special Educational Needs (SEN)

Has a Statement of SEN
  If '✔' give details
Had SEN in Previous School
  If '✔' give details
Any Other SEN
  If '✔' give details

Any Contact With Following
  Social Worker
  Educational Psychologist
  Educational Welfare Officer
  Speech Therapist
Details of Any Contact...

Child's Medical Details

Doctor's Details

Any Medical Condition
  Diabetes
  Epilepsy
  Asthma
Any Medical Condition
  Visual impairment
  Hearing difficulties
  Has grommets
  Any other
Details of Medical Condition

Allergies
  Has medically diagnosed allergies
Medication
  Has medications to be kept in school
Medication Instruction
Medical Treatment Permission
  I/We give permission for the staff at Handsworth Primary School to seek medical advice or treatment for my child in the case of an emergency

Child's School Meal Arrangement

  The child would like to have school meals       I/We receive income support
Please advise the office in writing if you would like your child to have a school meal as there may be a waiting list. Would you please note that a week’s notice in writing should be given of any change. We encourage children starting in Reception to bring packed lunches for the first half term as they settle into School life. Children in Reception, Year 1 & Year 2 are entitled to Universal Free School meals. Please notify the School office if you would like to take this up.

Child's Brothers & Sisters

Firstname & Surname
Date of Birth
School
Class (if in our school)

Firstname & Surname
Date of Birth
School
Class (if in our school)

Firstname & Surname
Date of Birth
School
Class (if in our school)

Firstname & Surname
Date of Birth
School
Class (if in our school)

Orders Under the Children Act

Are there any Section 8 orders (under the Children Act) issued in relation to the pupil?
  Residence Order
  Contact Order
  Prohibited Steps Order
  Specific Issue Order

  • A residence order defines the arrangements to be made as to where, and with whom a child will live. More than one household might be involved, in which case the order will specify the time the child spends in each.
  • A contact order names anyone who can have contact with the child – who they can visit or stay with, for instance, under such detailed arrangements as the court might determine.
  • A prohibited steps order forbids specific actions on the part of whoever exercises parental responsibility. Taking the child abroad, may be an example.
  • A specific issue order settles any matter, possibly of dispute, about the child.

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