Admissions Form 1

Student & Parent Details

This form will ask you for basic information about your child including, names, addresses and emergency contacts.

This form will take approximately 15 minutes to complete.

The Piggott School Admissions Forms

ABOUT YOU

Please let us know who is completing this form.

Your full name:* Your relationship to the student:* If you selected 'Other', please state your relationship to the student: Please enter your email address:*

SECTION 1: STUDENT DETAILS

Please enter the 5-digit individual student code provided on your welcome letter:*

Please complete the below sections with the student's information.

Legal first name:* Middle name(s): Legal surname:* Preferred first name (if different to legal first name): Preferred surname (if different to legal surname): Date of birth (DD/MM/YY):* Sex:* Student's main address:* Postcode of Student's main address:*

SECTION 2: PARENTAL REGISTER

Government regulation requires schools to draw up and maintain a register of names and addresses of all persons who should be regarded as parents of students attending the school. (Parent in this instance includes both natural parents and any guardian or person having the actual custody of the young person, e.g. step-parent).

Parent 1 details:

Parent 1 title:* If 'Other' please enter title: Parent 1 first name:* Parent 1 surname:* Does Parent 1 reside at the same address as the student?* Parent 1 address (if different from the student's address): Parent 1 email address:* Parent 1 mobile number:* Parent 1 additional contact number: Additional number details (e.g. Work, Mobile) Does Parent 1 have parental responsibility?* Is there any information relating to Parent 1 that you would like us to know?

Parent 2 details:

Parent 2 title: If 'Other' please enter title: Parent 2 first name: Parent 2 surname: Does Parent 2 reside at the same address as the student? Parent 2 address (if different from the student's address): Parent 2 email address: Parent 2 mobile number: Parent 2 additional contact number: Additional number details (e.g. Work, Mobile) Does Parent 2 have parental responsibility? Is there any information relating to Parent 2 that you would like us to know?

Other parental information:

Are there any court orders in place that impact the care or parental responsibility of the student?

SECTION 3: EMERGENCY CONTACTS

In the section below, please provide contact details of persons that can be contacted in the event of illness or other emergency during school hours.

As a minimum, we require contact details for:(at least) one adult with parental responsibility that resides at the same address as the student.one contact who may or may not reside in the family homeone contact who does not reside in the family home

Please complete the below sections with details of the emergency contact details.
We will make contact in order of priority starting with the 1st emergency contact.

1st emergency contact

Please select the contact that should be contacted in the first instance:*

If you selected 'Another Contact', please provide details below:
	Mr/Mrs/Miss	Contact full name	Phone number(s)	Address

2nd emergency contact

If contact cannot be made with the 1st emergency contact, who should we contact next?*

If you selected 'Another Contact', please provide details below:
	Mr/Mrs/Miss	Contact full name	Phone number(s)	Address

3rd emergency contact

Please name a 3rd emergency contact:
	Mr/Mrs/Miss	Contact full name	Phone number(s)	Address

Relationship to the student:

4th emergency contact

Please name a 4th emergency contact:
	Mr/Mrs/Miss	Contact full name	Phone number(s)	Address

Relationship to the student:

General School Communications

We send all correspondence where possible by email to parents' email addresses using the School Comms system which is secure. Where this is not possible, we will send home a paper copy.

Who should receive general school communications via email?*

SECTION 4: OTHER INFORMATION

Other details:

Has the student ever been in care?* Has the student been adopted?* Has the student been subject to a custody order due to being looked after?* Been subject to a guardianship or residency order following being looked after?* If you answered 'Yes' to any of the above, please give details below. If applicable, please upload any supporting documentation relating to the above questions No file chosen

Previous School(s):

Please list previous schools attended with dates; adding details of any special educational provision etc.
	School	Start date	Leaving date
1
2
3

Previous schools: additional information

Special Educational Needs (SEN):

Does the student have an Educational Health Care Plan (EHCP)?* Is the student on the SEN register?* If 'Yes' please give a brief explanation of the student's needs:

Lunchtime arrangements:

Is the student eligible for free school meals?* Is the student eligible for the pupil premium?*

Thank you for completing the admission form

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