Wirral Council - Secondary In Year Application Form

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Children and Young People’s
Department
PROTECT (when completed)
SECONDARY IN YEAR APPLICATION FORM
(To be completed by an adult who has parental responsibility for applying for a school place)
NAME OF SCHOOLS REQUESTED
Current Year Group
FIRST
SECOND
THIRD
SECTION 1 – CHILD AND PARENT/CARER DETAILS
Child Details
Last name:_________________________ Forenames ________________________________
Date of Birth: _______________________ Male [
] Female [
]
Parent/carer details
Last name of parent _________________
First name of parent _____________ Mr/Mrs/Ms/Miss/Dr
Last name of parent _________________
First name of parent _____________ Mr/Mrs/Ms/Miss/Dr
Address (including house number)* ___________________________________________________
________________________________________________________________________________
____________________________________________________Postcode: ____________________
Home tel.no. ______________________
Daytime tel.no. _________________________________
Mobile tel.no. _____________________
e-mail address _________________________________
School details
Name and location of current/previous school ____________________________________________
________________________________________________________________________________
Current/previous school type (circle):
Mainstream
Special
PRU
Other
Telephone number of current/previous school ____________________________________________
* If moving house, please make sure you complete Section 3.
If any of your preferences are because you would like your son/daughter to join brother(s) or sister(s)
now attending that school, please indicate below details of the other children. Brother(s) or sister(s)
must be living at the same address. Note that other relatives, such as cousins, are not included.
Name (in full)
Date of birth
Age
Current School

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