Registration Form 2020 Edition Please provide us with the following information which we need to deliver our services to you, comply with our legal duties, improve our services and monitor equality of opportunity. Child Child’s Full Name: __________________________________________________________________________ Name by Which Child is known: _____________________________________________________________ Date of Birth: ____________________________________ Gender: Male Female Country of Birth: __________________________________________________________________________ Entry Proposed Date of Entry: _____________________________________ School Year at Entry: EYFS: Kindergarten Reception Prep: Prep 1 Prep 2 Prep 3 Prep 4 Prep 5 Prep 6 Senior: 1st Form 2nd Form 3rd Form 4th Form 5th Form 6th Form: Lower 6th Upper 6th Age on 1 September in Year of Entry: _________________________ Address Home Address: ____________________________________________________________________________ _________________________________________________________________________________ _________ _________________________________________________________________________________ _________ _______________________________________________Post Code_________________________________ Child’s Current School or EYFS Setting Please provide details of the child’s current school or EYFS setting (if applicable), from which a reference may be sought. Name of school/setting: _________________________________________________________________ Wisbech Grammar School is a trading name of Wisbech Grammar School Limited The Company is registered in England and Wales with company number 11454188 Registered Office: Chapel Road, Wisbech, Cambridgeshire, PE13 1RH Registration Form 2020 Edition Address: _____________________________________________________________________________ _________________________________________________________________________________ ________ Length of time at current school/setting: _____________________________________________________ Year group at current school: _______________________________________________________________ Details of Parents/Guardians PARENT 1 Do you have Parental Responsibility? Yes No Title/marital status: ___________________________________ Full Name: ____________________________________________________________________________ Relationship to Child: _________________________________________________________________ Occupation (optional): _________________________________________________________________ Home Telephone No: ______________________________________________________________ __ Work Telephone No: ______________________________________________________________ __ Mobile Telephone No: ______________________________________________________________ __ Email: ________________________________________________________________________________ Address (if different to child): ____________________________________________________________ _________________________________________________________________________________ ______ PARENT 2 Do you have Parental Responsibility? Yes No Wisbech Grammar School is a trading name of Wisbech Grammar School Limited The Company is registered in England and Wales with company number 11454188 Registered Office: Chapel Road, Wisbech, Cambridgeshire, PE13 1RH Registration Form 2020 Edition Title/marital status: ___________________________________ Full Name: _____________________________________________________________________________ Relationship to Child: ___________________________________________________________________ Occupation (optional): ___________________________________________________________________ Home Telephone No: ______________________________________________________________ _____ Work Telephone No: ______________________________________________________________ _____ Mobile Telephone No: ______________________________________________________________ _____ Email: _________________________________________________________________________________ _ Address (if different to child): ______________________________________________________________ _________________________________________________________________________________ _______ Additional Information Are those with parental responsibility in agreement that the child will Yes No attend the school? Does anyone else need to consent to the child attending the School? Yes No If so please provide details: _______________________________________________________________ Are there any relevant Court Orders in relation to the child, as to parental responsibility, residence, contact, child arrangement, prohibited steps, specific issues or periodical payments, or in relation to the parents, if the parent is an un-discharged bankrupt or is subject to an individual voluntary arrangement? If so, please provide details: Wisbech Grammar School is a trading name of Wisbech Grammar School Limited The Company is registered in England and Wales with company number 11454188 Registered Office: Chapel Road, Wisbech, Cambridgeshire, PE13 1RH Registration Form 2020 Edition _________________________________________________________________________________ _________ _________________________________________________________________________________ _________ Will someone else other than the parents pay or guarantee fees? If so, please provide details: _________________________________________________________________________________ _________ _________________________________________________________________________________ _________ Other People with Parental Responsibility Title/marital status (optional): ___________________________________ Full Name: _____________________________________________________________________________ Relationship to Child: ___________________________________________________________________ Occupation (optional): ___________________________________________________________________ Home Telephone No: ______________________________________________________________ _____ Work Telephone No: ______________________________________________________________ _____ Mobile Telephone No: ______________________________________________________________ _____ Email: _________________________________________________________________________________ _ Address (if different to child): ______________________________________________________________ _________________________________________________________________________________ _______ Wisbech Grammar School is a trading name of Wisbech Grammar School Limited The Company is registered in England and Wales with company number 11454188 Registered Office: Chapel Road, Wisbech, Cambridgeshire, PE13 1RH Registration Form 2020 Edition Siblings To comply with safeguarding advice, we need to ask for details of any siblings. Please continue on a separate sheet if necessary. SIBLING 1 Full name: ______________________________________________________________________________ Date of Birth: ____________________________________ Gender Male Female Current school: ________________________________________________________________________ SIBLING 2 Full name: ______________________________________________________________________________ Date of Birth: ____________________________________ Gender Male Female Current school: ________________________________________________________________________ SIBLING 3 Full name: ______________________________________________________________________________ Date of Birth: ____________________________________ Gender Male Female Current school: _________________________________________________________________________ Military Children in Education Is your child a Service Child? : Yes No Wisbech Grammar School Connections Please give us details of any connections you may have to the School. Full name: ___________________________________________________________________________________ Connection: _________________________________________________________________________________ How did you hear about us? ___________________________________________________________________ Wisbech Grammar School is a trading name of Wisbech Grammar School Limited The Company is registered in England and Wales with company number 11454188 Registered Office: Chapel Road, Wisbech, Cambridgeshire, PE13 1RH Registration Form 2020 Edition Reputation Friends/Family Prospectus Advertisement Website Social media Other (please state) ____________________________________ Wisbech Grammar School is a trading name of Wisbech Grammar School Limited The Company is registered in England and Wales with company number 11454188 Registered Office: Chapel Road, Wisbech, Cambridgeshire, PE13 1RH Registration Form 2020 Edition Confidential Information Failure to disclose relevant information may result in the School being unable to make adjustments which can be reasonably made and lead to the withdrawal of any offer. Please continue on a separate sheet if necessary. 1. Do you have any concerns about the health of your child (such as defective hearing, sight problems, asthma, epilepsy, physical disabilities) Yes No which would affect his or her exam performance and/or education. 2. Are there any special details concerning the child, his or her schooling, home/personal background or friendships/relationships which the School Yes No should know about? 3. Has your child ever been on an Individual Education Plan (IEP) or given a Statement of Special Educational Needs or EHC Plan? Yes No 4. Does your child have a special educational need, learning difficulty