Students Date of Birth
How long have they lived at this address?
Note: You may be asked by the Local Authority to provide evidence of a change of address e.g. exchange of contracts, rental agreement etc.
Do you currently attend one of the feeder schools?
Do you currently attend one of the trust primary schools?
Parent/ Carer Name
A Looked After Child is a person under the age of 18 who is provided with accommodation by the local authority acting in its social services capacity, for a continuous period of more than 24 hours, by agreement with the parents or in accordance with Section 22 of the Children’s Act 1989.
A Previously Looked After Child is a person under the age of 18 who, immediately after being looked after, became subject to an adoption order, a residence order (under section 8 of the Children Act 1989), or a special guardianship order (under section 14A of the Children Act 1989). Children looked after under an agreed series of short-term placements (respite care) are excluded.
I understand that false or fraudulent information may result in my child losing his/her school place.
I have checked that all those with parental responsibility are in agreement with the information presented on this form
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