Supplementary Information Form for Year 7 entry September 2014

IMPORTANT: Closing Date for Return of this Form to Lambeth Academy is Friday 25th October 2013

In addition to this form you are required to complete and submit a Common Application Form (CAF) direct to your home borough.

Child’s details (please complete using BLOCK CAPITAL LETTERS) Child’s forename (s):

Child’s surname:

Gender: Date of birth: Current Primary School: Male: Female:

Unique Pupil Number (UPN): (This will be available upon request from your child’s Primary School)

Sibling details: Please enter details of any siblings currently attending Lambeth Academy

Parent / Guardian with whom the child lives (please complete using BLOCK CAPITAL LETTERS) Mr / Mrs / Forename Surname Relationship to Contact details Miss / Ms child

Home Address:

Postcode: Borough of Residence:

Admissions Test: If you are applying to any or all of the following schools, Archbishop Tenison’s, Dunraven, Lambeth Academy, La Retrait, Lilian Baylis Technology School, London Nautical, Platanos College, St Gabriel’s College, St Martin-in-the-Fields, or The Norwood School your child will sit the test only once. Please indicate the school at which you would like your child to sit the test (tick one box only). The test will take place on Saturday 16th November 2013.

Please ensure you tick only ONE school Archbishop Tenison’s Dunraven Lambeth Academy La Retrait (boys only) (girls only)

Lilian Baylis Technology London Nautical Platanos College St Gabriels’ College School (boys only)

St Martins-in-the-Fields The Norwood School (girls only)

Parent / Guardian signature: …………………………………… Parent / Guardian name: ………………………………….

Parent / Guardian contact number: ……………………………………………………….. Date: …………………………..

Email address: …………………………………………………………………………………………………………………......

Once completed this form should be returned by Friday 25th October 2013 to Admissions Officer, Lambeth Academy, Elms Road, London SW4 9ET Email: [email protected] Tel: 0207 819 4718 Fax: 0207 819 4701