Name: Summer Holidays
Start: 2019-07-18T08:00:00+01:00
End: 2019-08-31T17:00:00+01:00

Online Application

About your child
Full name of child*
First Last
Date of birth*
Preferred date of entry
Parent or Guardian 1
Name of parent or guardian 1*
First Last
Relationship to the Child*
Address of parent or guardian*
Street Address Address Line 2 City County Postcode Country
Occupation*
Work telephone number*
Home telephone number*
Email address*
Parent or Guardian 2
Name of parent or guardian 2
First Last
Relationship to the Child
Address of parent or guardian (if different from above)
Street Address Address Line 2 City County Postcode Country
Occupation
Work telephone number
Home telephone number
Email address
Continued
Telephone number(s) where parent(s) can be reached during the day in case of emergency
Parent/Parents with parental responsibilities
Additional
Religious affiliation
Last school attended
Length of attendance there
Name of your family doctor
Name of Surgery
If your child has any allergies or other conditions of which the staff should be aware, please note them in the additional information section of this form.
Additional Information
Please use this space to describe any allergy information, or if you child has contact with any other professionals such as social worker, health visitor, speech and language therapist, etc, please give their contact details.
Please let us know where/who you heard about Fletewood School from.
Confirmation
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- I wish to enrol my child as a pupil of Fletewood School and agree to abide by the school regulations. I also undertake not to remove my child without giving one full half-term’s notice in writing to the Headteacher, until my child has attained the age of eleven years.
From time to time we like to take photographs and video footage of your child/ren in school. This enables us to keep a record of their achievements and to celebrate the children’s work. The Early Years Advisory Teachers who visit our school would also like permission to take photos of your child in natural play situations. These photographs and videos could be used in our school, including on the school web site, or possibly for Early Years training and positive promotional purposes. If you have no objections to the above would you kindly indicate this by ticking the checkbox below.
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- By ticking I agree to my child being photographed/videoed in the school for display / Early Years Practitioner training / positive promotional purposes.
  These photographs and videos could be used in our school, including on the school web site, as part of The Big Classroom, or possibly for Early Years training and positive promotional purposes.
- By ticking I agree to my child being photographed/videoed in the school for display on our Facebook page.
- By ticking I agree to give permission for Fletewood School to call emergency medical assistance for my child.
- By ticking I agree to give permission for the emergency administration of infant oral paracetamol suspension (calpol) in the case of an emergency.
Parent photography and videoing - Unless there are valid objections you are allowed to film/photograph your child in school performances/activities. However, due to issues of safeguarding, permission has not been granted to place these pictures/video’s on social media for public viewing, if it includes children other than your own.

Please note - When your child starts school, would you please bring in their birth certificate so that we can verify your child’s age.
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- By using this form you agree with the storage and handling of your data by this website.