1.ADMISSIONS FORM

Legal Surname* Preferred surname* Legal Forename* Preferred Forename* Middle Name* Gender* Date Of Birth* Year Group* Address*

Please give details of all persons who have parental responsibility and anyone else you wish to be contacted in an emergency.
Place them in the order that you wish for them to be contacted in an emergency.

Priority 1 - Name* Relationship to Child* Address* Mobile number* Email address* Priority 2 - Name* Relationship to Child* Address* Mobile number* Email address* Priority 3 - Name* Relationship to Child* Address* Mobile number* Email address* Dietary Needs/Allergies-Please also complete '7.Twelve15 Special Diet Request Form'* Medical Practise* Medical Practise Address* Medical Practise Phone Number* Medical Condition/s* Disabilities* Ethnicity* First/Home language* Religion*

The data being collected, controlled and processed is in line with our Data Protection Policy and
current Data Protection legislation May 2018. All data will be stored on our school management
information system (SIMS).

Signature* Date*

Trumps Green Infant School

1.ADMISSIONS FORM

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