APPLICATION FOR ADMISSION OF CHILD TO ST JOHN BOSCO ARTS COLLEGE (Supplementary Form to LEA Application form) INFORMATION ON THIS FORM WILL BE TREATED AS CONFIDENTIAL SURNAME OF CHILD:

FORENAME(S): DATE OF BIRTH:

ADDRESS (Including Postcode): HOME TEL: MOBILE TEL:

EMAIL ADDRESS: Parent/ Carer NAME & ADDRESS: HOME TEL: MOBILE TEL:

RELATIONSHIP TO CHILD:

IS YOUR CHILD BAPTISED? Yes/No DATE OF BAPTISM:

If YES a copy of Baptismal Certificate is required to confirm this information RESIDENT PARISH:

SISTER IN THE COLLEGE AT TIME OF ADMISSION: (Please provide name of sibling) If you wish your daughter to be considered under the FAITH criteria other than Catholic please state the Christian denomination If your daughter belongs to a FAITH other than Christian please state which FAITH she belongs to Please note proof of the above will be required in the form of confirmation by member of Faith community or reference from an appropriate FAITH Leader DECLARATION: I have read the College rules and agree to abide by them and to ensure, as far as is possible, that my daughter obeys them. If my daughter loses or damages text books, supplies or equipment belonging to the College, I agree to pay the cost. SIGNATURE OF FATHER/GUARDIAN: DATE:

SIGNATURE OF MOTHER/GUARDIAN: DATE:

Please complete ALL sections and return to St John Bosco Arts College asap with relevant supporting documentation.