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Introduction
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Child's Information*
UPN:
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Forename(s)
Surname
Date of Birth
Gender
Male
Female
Family Status
Please Select
Fostered
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Is child a traveller?
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Main Language
Please Select
Acholi
Adangme
Afar-Saho
Afrikaans
Akan/Twi-Fante
Akan (Fante)
Akan (Twi/Asante)
Albanian/Shqip
Alur
Amharic
Arabic
Arabic (any other)
Arabic (Algeria)
Arabic (Iraq)
Arabic (Morocco)
Arabic (Sudan)
Arabic (Yemen)
Armenian
Assamese
Assyrian/Aramaic
Anyi-Baule
Aymara
Azeri
Bamileke (any)
Balochi
Beja/Bedawi
Belarusian
Bemba
Bhojpuri
Bikol
Balti Tibetan
Burmese/Myanma
Bengali
Bengali (any other)
Bengali (Chittagong/Noakhali)
Bengali (Sylheti)
British Sign Language
Basque/Euskara
Bulgarian
Cambodian/Khmer
Catalan
Caribbean Creole English
Caribbean Creole French
Chaga
Chattisgarhi/Khatahi
Chechen
Chinese
Chinese (any other)
Chinese (Cantonese)
Chinese (Hokkien/Fujianese)
Chinese (Hakka)
Chinese (Mandarin/Putonghua)
Chokwe
Cornish
Chitrali/Khowar
Chichewa/Nyanja
Welsh/Cymraeg
Czech
Danish
Dagaare
Dagbane
Dinka/Jieng
Dutch/Flemish
Dzongkha/Bhutanese
Ebira
Edo/Bini
Efik-Ibibio
Believed to be English*
English*
Esan/Ishan
Estonian
Ewe
Ewondo
Fang
Fijian
Finnish
Fon
French
Fula/Fulfulde-Pulaar
Ga
Gaelic/Irish
Gaelic (Scotland)
Georgian
German
Gogo/Chigogo
Kikuyu/Gikuyu
Galician/Galego
Greek
Greek (any other)
Greek (Cyprus)
Guarani
Gujarati
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Gurma
Hausa
Hindko
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Herero
Hungarian
Hindi
Iban
Idoma
Igala
Igbo
Ijo (any)
Ilokano
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Italian
Javanese
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Japanese
Kikamba
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Karen (any)
Kashmiri
Kanuri
Kazakh
Katchi
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Khasi
Kihaya/Luziba
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Kirundi
Kisi (West Africa)
Kalenjin
Kimbundu
Kimeru
Konkani
Kinyakyusa-Ngonde
Kikongo
Korean
Kpelle
Krio
Kru (any)
Kisii/Ekegusii (Kenya)
Kisukuma
Kurdish
Kurdish (any other)
Kurdish (Kurmanji)
Kurdish (Sorani)
Lao
Luba
Luba (Chiluba/Tshiluba)
Luba (Kiluba)
Luganda
Lugbara
Lugisu/Lumasaba
Lingala
Lithuanian
Lango (Uganda)
Lozi/Silozi
Lusoga
Latvian
Luxemburgish
Luvale/Luena
Lunda
Luo (Kenya/Tanzania)
Luhya (any)
Magahi
Maithili
Makua
Manding/Malinke
Manding/Malinke (any other)
Bambara
Dyula/Jula
Maori
Marathi
Maasai
Maldivian/Dhivehi
Mende
Macedonian
Malagasy
Malayalam
Maltese
Malay/Indonesian
Malay (any other)
Indonesian/Bahasa Indonesia
Magindanao-Maranao
Mongolian (Khalkha)
Manx Gaelic
Moore/Mossi
Mauritian/Seychelles Creole
Munda (any)
Maya (any)
Nahuatl/Mexicano
Nama/Damara
Nubian (any)
Ndebele
Ndebele (South Africa)
Ndebele (Zimbabwe)
Nepali
Norwegian
Information not obtained*
Nuer/Naadh
Nupe
Newari
Nzema
Ambo/Oshiwambo
Ambo (Kwanyama)
Ambo (Ndonga)
Ogoni (any)
Oriya
Oromo
Believed to be other than English*
Other than English*
Other language
Pangasinan
Pampangan
Pashto/Pakhto
Pahari/Himachali (India)
Pahari (Pakistan)
Panjabi
Panjabi (any other)
Panjabi (Gurmukhi)
Panjabi (Mirpuri)
Panjabi (Pothwari)
Polish
Portuguese
Portuguese (any other)
Portuguese (Brazil)
Persian/Farsi
Farsi/Persian (any other)
Dari Persian
Tajiki Persian
Quechua
Rajasthani/Marwari
Refused*
Romany/English Romanes
Romani (International)
Romanian
Romanian (Moldova)
Romanian (Romania)
Romansch
Runyakitara
Runyankore-Ruchiga
Runyoro-Rutooro
Russian
Samoan
Serbian/Croatian/Bosnian
Bosnian
Croatian
Serbian
Scots
Shilluk/Cholo
Shona
Sidamo
Sign language (other)
Slovak
Slovenian
Sindhi
Sango
Sinhala
Somali
Spanish
Sardinian
Siraiki
Sotho/Sesotho
Sotho/Sesotho (Southern)
Sotho/Sesotho (Northern)
Swazi/Siswati
Tswana/Setswana
Sundanese
Swahili/Kiswahili
Swahili (any other)
Comorian Swahili
Swahili (Kingwana)
Swahili (Brava/Mwiini)
Swahili (Bajuni/Tikuu)
Swedish
Tamil
Telugu
Temne
Teso/Ateso
Tigre
Tagalog/Filipino
Filipino
Tagalog
Tigrinya
Thai
Tibetan
Tiv
Berber/Tamazight
Berber/Tamazight (any other)
Berber/Tamazight (Kabyle)
Berber (Tamashek)
Tonga/Chitonga (Zambia)
Tongan (Oceania)
Tok Pisin
Traveller Irish/Shelta
Tsonga
Turkmen
Tulu
Tumbuka
Turkish
Ukrainian
Umbundu
Urdu
Urhobo-Isoko
Uyghur
Uzbek
Venda
Vietnamese
Visayan/Bisaya
Visayan/Bisaya (any other)
Hiligaynon
Cebuano/Sugbuanon
Waray/Binisaya
Wa-Paraok (South-East Asia)
West-African Creole Portuguese
Wolof
West-African Pidgin English
Xhosa
Yao/Chiyao (East Africa)
Yiddish
Yoruba
Zande
Zulu
Classification pending
2nd Language
Please Select (optional)
Acholi
Adangme
Afar-Saho
Afrikaans
Akan/Twi-Fante
Akan (Fante)
Akan (Twi/Asante)
Albanian/Shqip
Alur
Amharic
Arabic
Arabic (any other)
Arabic (Algeria)
Arabic (Iraq)
Arabic (Morocco)
Arabic (Sudan)
Arabic (Yemen)
Armenian
Assamese
Assyrian/Aramaic
Anyi-Baule
Aymara
Azeri
Bamileke (any)
Balochi
Beja/Bedawi
Belarusian
Bemba
Bhojpuri
Bikol
Balti Tibetan
Burmese/Myanma
Bengali
Bengali (any other)
Bengali (Chittagong/Noakhali)
Bengali (Sylheti)
British Sign Language
Basque/Euskara
Bulgarian
Cambodian/Khmer
Catalan
Caribbean Creole English
Caribbean Creole French
Chaga
Chattisgarhi/Khatahi
Chechen
Chinese
Chinese (any other)
Chinese (Cantonese)
Chinese (Hokkien/Fujianese)
Chinese (Hakka)
Chinese (Mandarin/Putonghua)
Chokwe
Cornish
Chitrali/Khowar
Chichewa/Nyanja
Welsh/Cymraeg
Czech
Danish
Dagaare
Dagbane
Dinka/Jieng
Dutch/Flemish
Dzongkha/Bhutanese
Ebira
Edo/Bini
Efik-Ibibio
Believed to be English*
English*
Esan/Ishan
Estonian
Ewe
Ewondo
Fang
Fijian
Finnish
Fon
French
Fula/Fulfulde-Pulaar
Ga
Gaelic/Irish
Gaelic (Scotland)
Georgian
German
Gogo/Chigogo
Kikuyu/Gikuyu
Galician/Galego
Greek
Greek (any other)
Greek (Cyprus)
Guarani
Gujarati
Gurenne/Frafra
Gurma
Hausa
Hindko
Hebrew
Herero
Hungarian
Hindi
Iban
Idoma
Igala
Igbo
Ijo (any)
Ilokano
Itsekiri
Icelandic
Italian
Javanese
Jinghpaw/Kachin
Japanese
Kikamba
Kannada
Karen (any)
Kashmiri
Kanuri
Kazakh
Katchi
Kirghiz/Kyrgyz
Khasi
Kihaya/Luziba
Kinyarwanda
Kirundi
Kisi (West Africa)
Kalenjin
Kimbundu
Kimeru
Konkani
Kinyakyusa-Ngonde
Kikongo
Korean
Kpelle
Krio
Kru (any)
Kisii/Ekegusii (Kenya)
Kisukuma
Kurdish
Kurdish (any other)
Kurdish (Kurmanji)
Kurdish (Sorani)
Lao
Luba
Luba (Chiluba/Tshiluba)
Luba (Kiluba)
Luganda
Lugbara
Lugisu/Lumasaba
Lingala
Lithuanian
Lango (Uganda)
Lozi/Silozi
Lusoga
Latvian
Luxemburgish
Luvale/Luena
Lunda
Luo (Kenya/Tanzania)
Luhya (any)
Magahi
Maithili
Makua
Manding/Malinke
Manding/Malinke (any other)
Bambara
Dyula/Jula
Maori
Marathi
Maasai
Maldivian/Dhivehi
Mende
Macedonian
Malagasy
Malayalam
Maltese
Malay/Indonesian
Malay (any other)
Indonesian/Bahasa Indonesia
Magindanao-Maranao
Mongolian (Khalkha)
Manx Gaelic
Moore/Mossi
Mauritian/Seychelles Creole
Munda (any)
Maya (any)
Nahuatl/Mexicano
Nama/Damara
Nubian (any)
Ndebele
Ndebele (South Africa)
Ndebele (Zimbabwe)
Nepali
Norwegian
Information not obtained*
Nuer/Naadh
Nupe
Newari
Nzema
Ambo/Oshiwambo
Ambo (Kwanyama)
Ambo (Ndonga)
Ogoni (any)
Oriya
Oromo
Believed to be other than English*
Other than English*
Other language
Pangasinan
Pampangan
Pashto/Pakhto
Pahari/Himachali (India)
Pahari (Pakistan)
Panjabi
Panjabi (any other)
Panjabi (Gurmukhi)
Panjabi (Mirpuri)
Panjabi (Pothwari)
Polish
Portuguese
Portuguese (any other)
Portuguese (Brazil)
Persian/Farsi
Farsi/Persian (any other)
Dari Persian
Tajiki Persian
Quechua
Rajasthani/Marwari
Refused*
Romany/English Romanes
Romani (International)
Romanian
Romanian (Moldova)
Romanian (Romania)
Romansch
Runyakitara
Runyankore-Ruchiga
Runyoro-Rutooro
Russian
Samoan
Serbian/Croatian/Bosnian
Bosnian
Croatian
Serbian
Scots
Shilluk/Cholo
Shona
Sidamo
Sign language (other)
Slovak
Slovenian
Sindhi
Sango
Sinhala
Somali
Spanish
Sardinian
Siraiki
Sotho/Sesotho
Sotho/Sesotho (Southern)
Sotho/Sesotho (Northern)
Swazi/Siswati
Tswana/Setswana
Sundanese
Swahili/Kiswahili
Swahili (any other)
Comorian Swahili
Swahili (Kingwana)
Swahili (Brava/Mwiini)
Swahili (Bajuni/Tikuu)
Swedish
Tamil
Telugu
Temne
Teso/Ateso
Tigre
Tagalog/Filipino
Filipino
Tagalog
Tigrinya
Thai
Tibetan
Tiv
Berber/Tamazight
Berber/Tamazight (any other)
Berber/Tamazight (Kabyle)
Berber (Tamashek)
Tonga/Chitonga (Zambia)
Tongan (Oceania)
Tok Pisin
Traveller Irish/Shelta
Tsonga
Turkmen
Tulu
Tumbuka
Turkish
Ukrainian
Umbundu
Urdu
Urhobo-Isoko
Uyghur
Uzbek
Venda
Vietnamese
Visayan/Bisaya
Visayan/Bisaya (any other)
Hiligaynon
Cebuano/Sugbuanon
Waray/Binisaya
Wa-Paraok (South-East Asia)
West-African Creole Portuguese
Wolof
West-African Pidgin English
Xhosa
Yao/Chiyao (East Africa)
Yiddish
Yoruba
Zande
Zulu
Classification pending
3rd Language
Please Select (optional)
Acholi
Adangme
Afar-Saho
Afrikaans
Akan/Twi-Fante
Akan (Fante)
Akan (Twi/Asante)
Albanian/Shqip
Alur
Amharic
Arabic
Arabic (any other)
Arabic (Algeria)
Arabic (Iraq)
Arabic (Morocco)
Arabic (Sudan)
Arabic (Yemen)
Armenian
Assamese
Assyrian/Aramaic
Anyi-Baule
Aymara
Azeri
Bamileke (any)
Balochi
Beja/Bedawi
Belarusian
Bemba
Bhojpuri
Bikol
Balti Tibetan
Burmese/Myanma
Bengali
Bengali (any other)
Bengali (Chittagong/Noakhali)
Bengali (Sylheti)
British Sign Language
Basque/Euskara
Bulgarian
Cambodian/Khmer
Catalan
Caribbean Creole English
Caribbean Creole French
Chaga
Chattisgarhi/Khatahi
Chechen
Chinese
Chinese (any other)
Chinese (Cantonese)
Chinese (Hokkien/Fujianese)
Chinese (Hakka)
Chinese (Mandarin/Putonghua)
Chokwe
Cornish
Chitrali/Khowar
Chichewa/Nyanja
Welsh/Cymraeg
Czech
Danish
Dagaare
Dagbane
Dinka/Jieng
Dutch/Flemish
Dzongkha/Bhutanese
Ebira
Edo/Bini
Efik-Ibibio
Believed to be English*
English*
Esan/Ishan
Estonian
Ewe
Ewondo
Fang
Fijian
Finnish
Fon
French
Fula/Fulfulde-Pulaar
Ga
Gaelic/Irish
Gaelic (Scotland)
Georgian
German
Gogo/Chigogo
Kikuyu/Gikuyu
Galician/Galego
Greek
Greek (any other)
Greek (Cyprus)
Guarani
Gujarati
Gurenne/Frafra
Gurma
Hausa
Hindko
Hebrew
Herero
Hungarian
Hindi
Iban
Idoma
Igala
Igbo
Ijo (any)
Ilokano
Itsekiri
Icelandic
Italian
Javanese
Jinghpaw/Kachin
Japanese
Kikamba
Kannada
Karen (any)
Kashmiri
Kanuri
Kazakh
Katchi
Kirghiz/Kyrgyz
Khasi
Kihaya/Luziba
Kinyarwanda
Kirundi
Kisi (West Africa)
Kalenjin
Kimbundu
Kimeru
Konkani
Kinyakyusa-Ngonde
Kikongo
Korean
Kpelle
Krio
Kru (any)
Kisii/Ekegusii (Kenya)
Kisukuma
Kurdish
Kurdish (any other)
Kurdish (Kurmanji)
Kurdish (Sorani)
Lao
Luba
Luba (Chiluba/Tshiluba)
Luba (Kiluba)
Luganda
Lugbara
Lugisu/Lumasaba
Lingala
Lithuanian
Lango (Uganda)
Lozi/Silozi
Lusoga
Latvian
Luxemburgish
Luvale/Luena
Lunda
Luo (Kenya/Tanzania)
Luhya (any)
Magahi
Maithili
Makua
Manding/Malinke
Manding/Malinke (any other)
Bambara
Dyula/Jula
Maori
Marathi
Maasai
Maldivian/Dhivehi
Mende
Macedonian
Malagasy
Malayalam
Maltese
Malay/Indonesian
Malay (any other)
Indonesian/Bahasa Indonesia
Magindanao-Maranao
Mongolian (Khalkha)
Manx Gaelic
Moore/Mossi
Mauritian/Seychelles Creole
Munda (any)
Maya (any)
Nahuatl/Mexicano
Nama/Damara
Nubian (any)
Ndebele
Ndebele (South Africa)
Ndebele (Zimbabwe)
Nepali
Norwegian
Information not obtained*
Nuer/Naadh
Nupe
Newari
Nzema
Ambo/Oshiwambo
Ambo (Kwanyama)
Ambo (Ndonga)
Ogoni (any)
Oriya
Oromo
Believed to be other than English*
Other than English*
Other language
Pangasinan
Pampangan
Pashto/Pakhto
Pahari/Himachali (India)
Pahari (Pakistan)
Panjabi
Panjabi (any other)
Panjabi (Gurmukhi)
Panjabi (Mirpuri)
Panjabi (Pothwari)
Polish
Portuguese
Portuguese (any other)
Portuguese (Brazil)
Persian/Farsi
Farsi/Persian (any other)
Dari Persian
Tajiki Persian
Quechua
Rajasthani/Marwari
Refused*
Romany/English Romanes
Romani (International)
Romanian
Romanian (Moldova)
Romanian (Romania)
Romansch
Runyakitara
Runyankore-Ruchiga
Runyoro-Rutooro
Russian
Samoan
Serbian/Croatian/Bosnian
Bosnian
Croatian
Serbian
Scots
Shilluk/Cholo
Shona
Sidamo
Sign language (other)
Slovak
Slovenian
Sindhi
Sango
Sinhala
Somali
Spanish
Sardinian
Siraiki
Sotho/Sesotho
Sotho/Sesotho (Southern)
Sotho/Sesotho (Northern)
Swazi/Siswati
Tswana/Setswana
Sundanese
Swahili/Kiswahili
Swahili (any other)
Comorian Swahili
Swahili (Kingwana)
Swahili (Brava/Mwiini)
Swahili (Bajuni/Tikuu)
Swedish
Tamil
Telugu
Temne
Teso/Ateso
Tigre
Tagalog/Filipino
Filipino
Tagalog
Tigrinya
Thai
Tibetan
Tiv
Berber/Tamazight
Berber/Tamazight (any other)
Berber/Tamazight (Kabyle)
Berber (Tamashek)
Tonga/Chitonga (Zambia)
Tongan (Oceania)
Tok Pisin
Traveller Irish/Shelta
Tsonga
Turkmen
Tulu
Tumbuka
Turkish
Ukrainian
Umbundu
Urdu
Urhobo-Isoko
Uyghur
Uzbek
Venda
Vietnamese
Visayan/Bisaya
Visayan/Bisaya (any other)
Hiligaynon
Cebuano/Sugbuanon
Waray/Binisaya
Wa-Paraok (South-East Asia)
West-African Creole Portuguese
Wolof
West-African Pidgin English
Xhosa
Yao/Chiyao (East Africa)
Yiddish
Yoruba
Zande
Zulu
Classification pending
Nationality
Ethnicity
Address
Post Code:
Last school or nursery attended (
If not Handsworth Primary School
)
Not Applicable
Name of School
Address of School
Last date attended
Does your child currently attend Handsworth Primary School?
Yes
No
If 'No' select year they are joining
Nursery
Year R
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Please provide
at least
1 parent/guardian and 2 additional contacts
- OR -
2 parents/guardians and 1 additional contact
Parent/Guardian 1*
Relationship to the child
Contact Order
Please Select
1st
2nd
3rd
4th
5th
6th
I am legally responsible for the child
Yes
No
Title
Please Select
Miss
Mr
Mrs
Ms
Forename(s)
Surname
I receive income support
Yes
No
Mobile Phone
Call Order:
?
1
2
3
Home Phone
Call Order:
?
1
2
3
Work Phone
Call Order:
?
1
2
3
Email
Confirm Email
Create Password
Confirm Password
Address
As above
Post Code:
Main language
Please Select
Acholi
Adangme
Afar-Saho
Afrikaans
Akan/Twi-Fante
Akan (Fante)
Akan (Twi/Asante)
Albanian/Shqip
Alur
Amharic
Arabic
Arabic (any other)
Arabic (Algeria)
Arabic (Iraq)
Arabic (Morocco)
Arabic (Sudan)
Arabic (Yemen)
Armenian
Assamese
Assyrian/Aramaic
Anyi-Baule
Aymara
Azeri
Bamileke (any)
Balochi
Beja/Bedawi
Belarusian
Bemba
Bhojpuri
Bikol
Balti Tibetan
Burmese/Myanma
Bengali
Bengali (any other)
Bengali (Chittagong/Noakhali)
Bengali (Sylheti)
British Sign Language
Basque/Euskara
Bulgarian
Cambodian/Khmer
Catalan
Caribbean Creole English
Caribbean Creole French
Chaga
Chattisgarhi/Khatahi
Chechen
Chinese
Chinese (any other)
Chinese (Cantonese)
Chinese (Hokkien/Fujianese)
Chinese (Hakka)
Chinese (Mandarin/Putonghua)
Chokwe
Cornish
Chitrali/Khowar
Chichewa/Nyanja
Welsh/Cymraeg
Czech
Danish
Dagaare
Dagbane
Dinka/Jieng
Dutch/Flemish
Dzongkha/Bhutanese
Ebira
Edo/Bini
Efik-Ibibio
Believed to be English*
English*
Esan/Ishan
Estonian
Ewe
Ewondo
Fang
Fijian
Finnish
Fon
French
Fula/Fulfulde-Pulaar
Ga
Gaelic/Irish
Gaelic (Scotland)
Georgian
German
Gogo/Chigogo
Kikuyu/Gikuyu
Galician/Galego
Greek
Greek (any other)
Greek (Cyprus)
Guarani
Gujarati
Gurenne/Frafra
Gurma
Hausa
Hindko
Hebrew
Herero
Hungarian
Hindi
Iban
Idoma
Igala
Igbo
Ijo (any)
Ilokano
Itsekiri
Icelandic
Italian
Javanese
Jinghpaw/Kachin
Japanese
Kikamba
Kannada
Karen (any)
Kashmiri
Kanuri
Kazakh
Katchi
Kirghiz/Kyrgyz
Khasi
Kihaya/Luziba
Kinyarwanda
Kirundi
Kisi (West Africa)
Kalenjin
Kimbundu
Kimeru
Konkani
Kinyakyusa-Ngonde
Kikongo
Korean
Kpelle
Krio
Kru (any)
Kisii/Ekegusii (Kenya)
Kisukuma
Kurdish
Kurdish (any other)
Kurdish (Kurmanji)
Kurdish (Sorani)
Lao
Luba
Luba (Chiluba/Tshiluba)
Luba (Kiluba)
Luganda
Lugbara
Lugisu/Lumasaba
Lingala
Lithuanian
Lango (Uganda)
Lozi/Silozi
Lusoga
Latvian
Luxemburgish
Luvale/Luena
Lunda
Luo (Kenya/Tanzania)
Luhya (any)
Magahi
Maithili
Makua
Manding/Malinke
Manding/Malinke (any other)
Bambara
Dyula/Jula
Maori
Marathi
Maasai
Maldivian/Dhivehi
Mende
Macedonian
Malagasy
Malayalam
Maltese
Malay/Indonesian
Malay (any other)
Indonesian/Bahasa Indonesia
Magindanao-Maranao
Mongolian (Khalkha)
Manx Gaelic
Moore/Mossi
Mauritian/Seychelles Creole
Munda (any)
Maya (any)
Nahuatl/Mexicano
Nama/Damara
Nubian (any)
Ndebele
Ndebele (South Africa)
Ndebele (Zimbabwe)
Nepali
Norwegian
Information not obtained*
Nuer/Naadh
Nupe
Newari
Nzema
Ambo/Oshiwambo
Ambo (Kwanyama)
Ambo (Ndonga)
Ogoni (any)
Oriya
Oromo
Believed to be other than English*
Other than English*
Other language
Pangasinan
Pampangan
Pashto/Pakhto
Pahari/Himachali (India)
Pahari (Pakistan)
Panjabi
Panjabi (any other)
Panjabi (Gurmukhi)
Panjabi (Mirpuri)
Panjabi (Pothwari)
Polish
Portuguese
Portuguese (any other)
Portuguese (Brazil)
Persian/Farsi
Farsi/Persian (any other)
Dari Persian
Tajiki Persian
Quechua
Rajasthani/Marwari
Refused*
Romany/English Romanes
Romani (International)
Romanian
Romanian (Moldova)
Romanian (Romania)
Romansch
Runyakitara
Runyankore-Ruchiga
Runyoro-Rutooro
Russian
Samoan
Serbian/Croatian/Bosnian
Bosnian
Croatian
Serbian
Scots
Shilluk/Cholo
Shona
Sidamo
Sign language (other)
Slovak
Slovenian
Sindhi
Sango
Sinhala
Somali
Spanish
Sardinian
Siraiki
Sotho/Sesotho
Sotho/Sesotho (Southern)
Sotho/Sesotho (Northern)
Swazi/Siswati
Tswana/Setswana
Sundanese
Swahili/Kiswahili
Swahili (any other)
Comorian Swahili
Swahili (Kingwana)
Swahili (Brava/Mwiini)
Swahili (Bajuni/Tikuu)
Swedish
Tamil
Telugu
Temne
Teso/Ateso
Tigre
Tagalog/Filipino
Filipino
Tagalog
Tigrinya
Thai
Tibetan
Tiv
Berber/Tamazight
Berber/Tamazight (any other)
Berber/Tamazight (Kabyle)
Berber (Tamashek)
Tonga/Chitonga (Zambia)
Tongan (Oceania)
Tok Pisin
Traveller Irish/Shelta
Tsonga
Turkmen
Tulu
Tumbuka
Turkish
Ukrainian
Umbundu
Urdu
Urhobo-Isoko
Uyghur
Uzbek
Venda
Vietnamese
Visayan/Bisaya
Visayan/Bisaya (any other)
Hiligaynon
Cebuano/Sugbuanon
Waray/Binisaya
Wa-Paraok (South-East Asia)
West-African Creole Portuguese
Wolof
West-African Pidgin English
Xhosa
Yao/Chiyao (East Africa)
Yiddish
Yoruba
Zande
Zulu
Classification pending
Work Information
N/A
Occupation
Workplace Name
Workplace Address
Work hours
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Parent/Guardian 2
Relationship to the child
Contact Order
Please Select
1st
2nd
3rd
4th
5th
6th
I am legally responsible for the child
Yes
No
Title
Please Select
Miss
Mr
Mrs
Ms
Forename(s)
Surname
I receive income support
Yes
No
Mobile Phone
Call Order:
?
1
2
3
Home Phone
Call Order:
?
1
2
3
Work Phone
Call Order:
?
1
2
3
Email
Confirm Email
Create Password
Confirm Password
Address
As above
Post Code:
Main language
Please Select
Acholi
Adangme
Afar-Saho
Afrikaans
Akan/Twi-Fante
Akan (Fante)
Akan (Twi/Asante)
Albanian/Shqip
Alur
Amharic
Arabic
Arabic (any other)
Arabic (Algeria)
Arabic (Iraq)
Arabic (Morocco)
Arabic (Sudan)
Arabic (Yemen)
Armenian
Assamese
Assyrian/Aramaic
Anyi-Baule
Aymara
Azeri
Bamileke (any)
Balochi
Beja/Bedawi
Belarusian
Bemba
Bhojpuri
Bikol
Balti Tibetan
Burmese/Myanma
Bengali
Bengali (any other)
Bengali (Chittagong/Noakhali)
Bengali (Sylheti)
British Sign Language
Basque/Euskara
Bulgarian
Cambodian/Khmer
Catalan
Caribbean Creole English
Caribbean Creole French
Chaga
Chattisgarhi/Khatahi
Chechen
Chinese
Chinese (any other)
Chinese (Cantonese)
Chinese (Hokkien/Fujianese)
Chinese (Hakka)
Chinese (Mandarin/Putonghua)
Chokwe
Cornish
Chitrali/Khowar
Chichewa/Nyanja
Welsh/Cymraeg
Czech
Danish
Dagaare
Dagbane
Dinka/Jieng
Dutch/Flemish
Dzongkha/Bhutanese
Ebira
Edo/Bini
Efik-Ibibio
Believed to be English*
English*
Esan/Ishan
Estonian
Ewe
Ewondo
Fang
Fijian
Finnish
Fon
French
Fula/Fulfulde-Pulaar
Ga
Gaelic/Irish
Gaelic (Scotland)
Georgian
German
Gogo/Chigogo
Kikuyu/Gikuyu
Galician/Galego
Greek
Greek (any other)
Greek (Cyprus)
Guarani
Gujarati
Gurenne/Frafra
Gurma
Hausa
Hindko
Hebrew
Herero
Hungarian
Hindi
Iban
Idoma
Igala
Igbo
Ijo (any)
Ilokano
Itsekiri
Icelandic
Italian
Javanese
Jinghpaw/Kachin
Japanese
Kikamba
Kannada
Karen (any)
Kashmiri
Kanuri
Kazakh
Katchi
Kirghiz/Kyrgyz
Khasi
Kihaya/Luziba
Kinyarwanda
Kirundi
Kisi (West Africa)
Kalenjin
Kimbundu
Kimeru
Konkani
Kinyakyusa-Ngonde
Kikongo
Korean
Kpelle
Krio
Kru (any)
Kisii/Ekegusii (Kenya)
Kisukuma
Kurdish
Kurdish (any other)
Kurdish (Kurmanji)
Kurdish (Sorani)
Lao
Luba
Luba (Chiluba/Tshiluba)
Luba (Kiluba)
Luganda
Lugbara
Lugisu/Lumasaba
Lingala
Lithuanian
Lango (Uganda)
Lozi/Silozi
Lusoga
Latvian
Luxemburgish
Luvale/Luena
Lunda
Luo (Kenya/Tanzania)
Luhya (any)
Magahi
Maithili
Makua
Manding/Malinke
Manding/Malinke (any other)
Bambara
Dyula/Jula
Maori
Marathi
Maasai
Maldivian/Dhivehi
Mende
Macedonian
Malagasy
Malayalam
Maltese
Malay/Indonesian
Malay (any other)
Indonesian/Bahasa Indonesia
Magindanao-Maranao
Mongolian (Khalkha)
Manx Gaelic
Moore/Mossi
Mauritian/Seychelles Creole
Munda (any)
Maya (any)
Nahuatl/Mexicano
Nama/Damara
Nubian (any)
Ndebele
Ndebele (South Africa)
Ndebele (Zimbabwe)
Nepali
Norwegian
Information not obtained*
Nuer/Naadh
Nupe
Newari
Nzema
Ambo/Oshiwambo
Ambo (Kwanyama)
Ambo (Ndonga)
Ogoni (any)
Oriya
Oromo
Believed to be other than English*
Other than English*
Other language
Pangasinan
Pampangan
Pashto/Pakhto
Pahari/Himachali (India)
Pahari (Pakistan)
Panjabi
Panjabi (any other)
Panjabi (Gurmukhi)
Panjabi (Mirpuri)
Panjabi (Pothwari)
Polish
Portuguese
Portuguese (any other)
Portuguese (Brazil)
Persian/Farsi
Farsi/Persian (any other)
Dari Persian
Tajiki Persian
Quechua
Rajasthani/Marwari
Refused*
Romany/English Romanes
Romani (International)
Romanian
Romanian (Moldova)
Romanian (Romania)
Romansch
Runyakitara
Runyankore-Ruchiga
Runyoro-Rutooro
Russian
Samoan
Serbian/Croatian/Bosnian
Bosnian
Croatian
Serbian
Scots
Shilluk/Cholo
Shona
Sidamo
Sign language (other)
Slovak
Slovenian
Sindhi
Sango
Sinhala
Somali
Spanish
Sardinian
Siraiki
Sotho/Sesotho
Sotho/Sesotho (Southern)
Sotho/Sesotho (Northern)
Swazi/Siswati
Tswana/Setswana
Sundanese
Swahili/Kiswahili
Swahili (any other)
Comorian Swahili
Swahili (Kingwana)
Swahili (Brava/Mwiini)
Swahili (Bajuni/Tikuu)
Swedish
Tamil
Telugu
Temne
Teso/Ateso
Tigre
Tagalog/Filipino
Filipino
Tagalog
Tigrinya
Thai
Tibetan
Tiv
Berber/Tamazight
Berber/Tamazight (any other)
Berber/Tamazight (Kabyle)
Berber (Tamashek)
Tonga/Chitonga (Zambia)
Tongan (Oceania)
Tok Pisin
Traveller Irish/Shelta
Tsonga
Turkmen
Tulu
Tumbuka
Turkish
Ukrainian
Umbundu
Urdu
Urhobo-Isoko
Uyghur
Uzbek
Venda
Vietnamese
Visayan/Bisaya
Visayan/Bisaya (any other)
Hiligaynon
Cebuano/Sugbuanon
Waray/Binisaya
Wa-Paraok (South-East Asia)
West-African Creole Portuguese
Wolof
West-African Pidgin English
Xhosa
Yao/Chiyao (East Africa)
Yiddish
Yoruba
Zande
Zulu
Classification pending
Work Information
N/A
Occupation
Workplace Name
Workplace Address
Work hours
-- Save to Submit Later --
Additional Contact 1*
Relationship to the child
Contact Order
Please Select
1st
2nd
3rd
4th
5th
6th
Authorised to collect from school
Yes
No
Title
Please Select
Miss
Mr
Mrs
Ms
Forename(s)
Surname
Mobile Phone
Call Order:
?
1
2
3
Home Phone
Call Order:
?
1
2
3
Work Phone
Call Order:
?
1
2
3
Email
Confirm Email
Address
Post Code:
-- Save to Submit Later --
Additional Contact 2
Relationship to the child
Contact Order
Please Select
1st
2nd
3rd
4th
5th
6th
Authorised to collect from school
Yes
No
Title
Please Select
Miss
Mr
Mrs
Ms
Forename(s)
Surname
Mobile Phone
Call Order:
?
1
2
3
Home Phone
Call Order:
?
1
2
3
Work Phone
Call Order:
?
1
2
3
Email
Confirm Email
Address
Post Code:
-- Save to Submit Later --
Additional Contact 3
Relationship to the child
Contact Order
Please Select
1st
2nd
3rd
4th
5th
6th
Authorised to collect from school
Yes
No
Title
Please Select
Miss
Mr
Mrs
Ms
Forename(s)
Surname
Mobile Phone
Call Order:
?
1
2
3
Home Phone
Call Order:
?
1
2
3
Work Phone
Call Order:
?
1
2
3
Email
Confirm Email
Address
Post Code:
-- Save to Submit Later --
Additional Contact 4
Relationship to the child
Contact Order
Please Select
1st
2nd
3rd
4th
5th
6th
Authorised to collect from school
Yes
No
Title
Please Select
Miss
Mr
Mrs
Ms
Forename(s)
Surname
Mobile Phone
Call Order:
?
1
2
3
Home Phone
Call Order:
?
1
2
3
Work Phone
Call Order:
?
1
2
3
Email
Confirm Email
Address
Post Code:
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Child's Special Educational Needs (SEND)*
Has an (EHCP)
Yes
No
If 'Yes' give details
Any Other SEND
Yes
No
If 'Yes' give details
Any Contact With Following
Social Worker
Yes
No
Educational Psychologist
Yes
No
Educational Welfare Officer
Yes
No
Speech Therapist
Yes
No
Details of Any Contact...
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Child's Medical Details*
Doctor's Details*
Medical Conditions
Diabetes
Yes
No
Epilepsy
Yes
No
Asthma
Yes
No
Visual impairment
Yes
No
Hearing difficulties
Yes
No
Has grommets
Yes
No
Has medically diagnosed allergies
Yes
No
Has epipen
Yes
No
Other medical conditions
Yes
No
If 'Yes' give details
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
Yes
No
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Child's School Meal Arrangement*
My child would like to have school meals
My child would like packed lunch
Pupil premium reminder - If you are in receipt of income support or are a low income family, even if your child receives a UIFSM or indeed has packed lunches, we would still request you apply for Pupil premium.
School meals are taken on a half termly basis and must be paid for in advance. Please note that
one week's notice in writing
should be given of any change. Children in Reception, Year 1 & year 2 are entitled to Universal Infant Free School Meals.
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Child's Brothers & Sisters*
No brothers or sisters
Brother/Sister 1
First Name & Surname
Gender & DOB
Gender
Male
Female
School
Class
(if in our school)
Brother/Sister 2
First Name & Surname
Gender & DOB
Gender
Male
Female
School
Class
(if in our school)
Brother/Sister 3
First Name & Surname
Gender & DOB
Gender
Male
Female
School
Class
(if in our school)
Brother/Sister 4
First Name & Surname
Gender & DOB
Gender
Male
Female
School
Class
(if in our school)
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Protection Orders*
Are there any protection orders issued in relation to the pupil?
Yes
No
Residence Order
Contact Order
Prohibited Steps Order
Specific Issue Order
Restraining 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.
A restraining order
is a court order issued by a judge at the end of criminal proceedings to prevent someone from causing harm to someone else, in situations involving domestic violence, harassment, stalking or sexual assault.
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Agreements*
Home School Agreement
The Parent/Carer
As parent/carer, I will:
Ensure my child attends school regularly, punctually and properly equipped;
Inform the school on the first day of any absence;
Ensure my child is wearing the correct uniform (see the School website for details);
Make the school aware of any concerns or problems that might affect my child’s wellbeing, work or behaviour;
Adhere to the school’s policies;
Attend parents’ evenings and discussions about my child’s progress;
Encourage my child’s learning and complete the home school diary.
Handsworth Primary School
We will:
care for your child’s safety and happiness;
ensure your child achieves their full potential as a valued member of the school community;
provide a balanced curriculum and meet the individual needs of your child;
strive for high standards of work and behaviour through building good relationships and developing a sense of responsibility;
keep you informed about general school matters and your child’s progress in particular;
be open and welcoming at all times and offer opportunities for you to become involved in the daily life of the school.
It is essential that we are able to contact a parent/carer, or an alternative contact, in the case of an emergency and we would ask for your support in ensuring that our records are kept up to date.
I understand that it is my responsibility to ensure the school is kept informed of any changes to my information e.g. email, emergency contacts, address, telephone number and medical information.
I agree to uphold the Home School Agreement
Yes
No
School Outings
As part of the School Curriculum, the children will have the opportunity to go on school trips. Parents/carers will always be notified and permission gained for any outing which requires transport (whether by coach or public transport). Teachers may also wish to take their children on local outings to such places as the park and shops. These visits will only be made during school hours and no money or food will be required.
I give permission for my child to participate in local outings during school time.
Yes
No
Social Media
When communicating with the school via official communication channels, or using private channels to talk about the school,
I will:
Be respectful towards members of staff and the school at all times
Be respectful of other parents/carers and children
Direct any complaints or concerns through the school’s official channels, so they can be dealt with in line with the school’s complaints procedure
I will not:
Use private groups or personal social media to complain about or criticise the school or members of staff. This is not constructive and the school cannot improve or address issues if they are not raised in an appropriate way.
Use private groups or personal social media to complain about, or try to resolve, a behaviour issue involving other pupils. I will contact the school and speak to the appropriate member of staff if I am aware of a specific behaviour issue or incident
Upload or share photos or videos on social media of any child other than my own, unless I have the permission of the other children’s parents/carers
I agree to uphold the Social Media Agreement
Yes
No
Photographs and Video
We take photographs of the children for identification purposes for use in school. During lessons, staff and children may take photographs and use video cameras to support teaching and learning.
In addition to this, we take photographs and video of children to celebrate their achievements and to show parents/carers what the children have been working on during the school day. We use these photos and video on the school website or on Twitter but we will only do this with parent’s/carer’s consent. We rarely use children’s names alongside photographs and, where we do, we only use the child’s first name.
Parents/carers have the right to withdraw their consent for any of the below at any time. Please refer to the school’s Data Protection Policy and Privacy Policy for further information or contact the school’s Data Protection Officer on 020 8527 5991.
I give permission for the school to use photographs of my child on the school website.
Yes
No
I give permission for the school to use video of my child on the school website.
Yes
No
I give permission for the school to use photographs of my child on Social Media.
Yes
No
I give permission for the school to use video of my child on Social Media.
Yes
No
Privacy, Website Registration & Updates
I have read and understood Handsworth Primary School's
Privacy Policy
.
Yes
No
I am happy for you to use the parent/guardian details provided on this form to auto register parents/guardians giving access to the school webite.
Yes
No
I confirm that I will update Handsworth Primary School in writing with any changes of information in relation to the information provided on this form, without delay.
Yes
No
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1
2
3
Anglican
Baptist
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Christianity
Hinduism
Humanism
Islam
Judaism
Methodist
No religion
Prefer not to say
Roman Catholic
Sikhism
United Reform Church
Other – (please type in)
Please Select
Bangladeshi
Indian
Pakistani
Other Asian
Ghanaian
Nigerian
Somali
Other Black African
Caribbean
Any Other Black Background
Chinese
White And Black Caribbean
White And Black African
White And Asian
Other Mixed Background
White British
Irish
Traveller Of Irish Heritage
Gypsy/Roma
White Eastern European
White Western European
Albanian
Bosnian-Herzegovinian
Croatian
Greek/Greek Cypriot
Kosovan
Serbian
Turkish/Turkish Cypriot
Other White
Any Other Ethnic Group
Acholi
Adangme
Afar-Saho
Afrikaans
Akan/Twi-Fante
Akan (Fante)
Akan (Twi/Asante)
Albanian/Shqip
Alur
Amharic
Arabic
Arabic (any other)
Arabic (Algeria)
Arabic (Iraq)
Arabic (Morocco)
Arabic (Sudan)
Arabic (Yemen)
Armenian
Assamese
Assyrian/Aramaic
Anyi-Baule
Aymara
Azeri
Bamileke (any)
Balochi
Beja/Bedawi
Belarusian
Bemba
Bhojpuri
Bikol
Balti Tibetan
Burmese/Myanma
Bengali
Bengali (any other)
Bengali (Chittagong/Noakhali)
Bengali (Sylheti)
British Sign Language
Basque/Euskara
Bulgarian
Cambodian/Khmer
Catalan
Caribbean Creole English
Caribbean Creole French
Chaga
Chattisgarhi/Khatahi
Chechen
Chinese
Chinese (any other)
Chinese (Cantonese)
Chinese (Hokkien/Fujianese)
Chinese (Hakka)
Chinese (Mandarin/Putonghua)
Chokwe
Cornish
Chitrali/Khowar
Chichewa/Nyanja
Welsh/Cymraeg
Czech
Danish
Dagaare
Dagbane
Dinka/Jieng
Dutch/Flemish
Dzongkha/Bhutanese
Ebira
Edo/Bini
Efik-Ibibio
Believed to be English*
English*
Esan/Ishan
Estonian
Ewe
Ewondo
Fang
Fijian
Finnish
Fon
French
Fula/Fulfulde-Pulaar
Ga
Gaelic/Irish
Gaelic (Scotland)
Georgian
German
Gogo/Chigogo
Kikuyu/Gikuyu
Galician/Galego
Greek
Greek (any other)
Greek (Cyprus)
Guarani
Gujarati
Gurenne/Frafra
Gurma
Hausa
Hindko
Hebrew
Herero
Hungarian
Hindi
Iban
Idoma
Igala
Igbo
Ijo (any)
Ilokano
Itsekiri
Icelandic
Italian
Javanese
Jinghpaw/Kachin
Japanese
Kikamba
Kannada
Karen (any)
Kashmiri
Kanuri
Kazakh
Katchi
Kirghiz/Kyrgyz
Khasi
Kihaya/Luziba
Kinyarwanda
Kirundi
Kisi (West Africa)
Kalenjin
Kimbundu
Kimeru
Konkani
Kinyakyusa-Ngonde
Kikongo
Korean
Kpelle
Krio
Kru (any)
Kisii/Ekegusii (Kenya)
Kisukuma
Kurdish
Kurdish (any other)
Kurdish (Kurmanji)
Kurdish (Sorani)
Lao
Luba
Luba (Chiluba/Tshiluba)
Luba (Kiluba)
Luganda
Lugbara
Lugisu/Lumasaba
Lingala
Lithuanian
Lango (Uganda)
Lozi/Silozi
Lusoga
Latvian
Luxemburgish
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Magahi
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Classification pending
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Nursery - Lauren Holyoak-Rackal & Claire Giacuzzo
Reception - Edward Ratnatunga
Reception - Aoife OConnor
Year 1 - Miss Jordaan
Year 1 - Miss Walter
Year 2 - Miss Bossman
Year 2 - Ms Robinson
Year 3 - Mrs Chetty
Year 3 - Miss Simons
Year 4 - Miss Nadeem
Year 4 - Mr Tromans
Year 5 - Mrs Glanvill
Year 5 - Mr Dawes
Year 6 - Mr Scott
Year 6 - Mr Mussell
New Reception Miss Walter 2025-26
New Reception Miss Crawford 2025-26
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Handsworth Primary School
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