Handsworth Primary School

Introduction

Please only complete this online form for any children joining Nursery or Reception in September. Please note that only fully completed forms can be submitted. You can save an incomplete form to continue later. Mandatory sections are indicated with a (*)

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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

Data Collection Forms

Under maintenance

Introduction

Child's Information*

Parent/Guardian 1*

Parent/Guardian 2

Additional Contact 1*

Additional Contact 2

Additional Contact 3

Additional Contact 4

Child's Special Educational Needs (SEND)*

Child's Medical Details*

Child's School Meal Arrangement*

Child's Brothers & Sisters*

Protection Orders*

Agreements*