Reception Entry Application Form

Child's Details

Child's Legal Name (as stated on birth certificate) *

First

Middle

Last

Child's Date of Birth: *

King Alfred School Sibling: *

Child's Gender: *

Child's Ethnicity: *

Child's Nationality (if non-EU):

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Home Phone Number:

Proposed season of entry: *

Preferred Reception entry year to King Alfred School: *

Parents' Details

Parent 1 Salutation *

Parent 1 Full Name: *

First

Last

Relationship To Applicant: *

Parental Responsibility: *

Address same as Pupil: *

If No, please add address here

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Parent 1 Occupation: *

Parent 1 Mobile Number: *

Parent 1 Email address: *

Parent 2 Salutation (If not applicable please choose not applicable)

Parent 2 Full Name:

First

Last

Relationship To Applicant:

Parental Responsibility:

Address same as Pupil:

If No, please add address here

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Parent 2 Occupation:

Parent 2 Mobile Number:

Parent 2 Email address:

In the case of separated parents, please indicate whether divorced or separated and with whom the child lives, and whether there is a new marriage partner and step siblings:

Current School/Nursery Information

Current School/Nursery: (Please put N/A if not applicable) *

Current School/Nursery Email:

Current School/Nursery Date Started:

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

School/Nursery Phone Number:

Other School/Nursery Information

School/Nursery 1:

Date Started:

Date Left:

Other Family Information

Other Children in family:

Name:

First

Last

Date Of Birth:

Current School:

Name:

First

Last

Date Of Birth:

Current School:

Languages

Is English your child’s first language?:

If no, what is your child’s first language at home?:

Does your child speak any other languages? (Please specify):

Medical History

Are there any medical conditions that could affect your child in school? (Please include Allergies and/or Dietary Needs): *

If the answer to the above is 'yes' please give details of any health issues:

If yes, please upload copies of any relevant medical reports

Click or drag a file to this area to upload.

Does your Child have any Special Educational Needs?: *

If yes, please specify? If no, please choose not applicable

Is your child receiving support for any aspect of their learning (Group or 1:1 Support) *

Yes
No

Please Upload Supporting Documents

Click or drag files to this area to upload. You can upload up to 5 files.

What is your Child's SEN Status?: *

SEN Status Starting Date:

Please Upload Supporting Documents

Click or drag files to this area to upload. You can upload up to 5 files.

Other Information

Is there any other information that it would be helpful for the school to know? :

How did you hear of our school? (Please only select one option) *

Please indicate why you feel that King Alfred School would be the right school for your child:

Declaration *

I/We accept and agree with all of the below

The above named child has the right to reside in the United Kingdom

I/We request that the name of our above-named child be registered as a prospective pupil.

I/We understand that this does not guarantee a place for our child at The King Alfred School.

I/We understand that the Terms and Conditions of the School will undergo reasonable changes from time to time as circumstances require and will apply in all our dealings with the School.

I/We understand also that the School may obtain, process and hold personal information about our child, including sensitive information such as medical details, and we consent to this for the purposes of assessment and, if a place is later offered, in order to safeguard and promote the welfare of the child.

I/We understand that nondisclosure of any medical/pastoral/academic information or reports on the application could result in an application being refused and/or a place offer being revoked.

Registration Fee

Price: £100.00

Total

£0.00

Once you have clicked Submit you will be taken to the payment page for the £100 application fee

Child's Details

Parents' Details

Current School/Nursery Information

Other School/Nursery Information

Other Family Information

Other Children in family:

Languages

Medical History

Other Information

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