Full Name of Child …………………………………………………………………..
Full Postal Address
………………………………………………………………………………………………………
………………………………………………………………………………………………………
……………………………………………………………………………………..………………
Post Code ………………………….. Home Tel No:…………………………………
Child’s Date of Birth ………………… Birth Certificate seen …………
Names of parents and/or legal guardians (relationship of guardian to child)
Mothers Name ……………….……………………………
Fathers Name ………………………………………………
Legal Guardians Name ……………………………. ….
Relationship to child…………………………………….
Any Other Information
Church Links
Please give details of links, if any, which you have with your Church
e.g. Attendance at worship
Participation in other Church visits
Voluntary work for the Church
Name of Church …………………………………………………….
If you would like your parish priest/minister to support your nomination, please ask him/her to sign below:
Signature of priest/minister ……………………………………
Name of priest/minister …………………………………….
(block capitals please)
Address for correspondence :
………………………………………………………….
………………………………………………………….
……………………………………………………………
Any other comments of statements to support your application for your children’s admission to St Mary’s CE School:
Please indicate if you will be applying to any other Schools: Yes/No
Parents Signature …………………………………….. Date ……………………….
Office Use Only:
Date Received:
Acknowledged
Category
Approval
Accepted |