The Consortium of Grammar Schools in Shropshire, Walsall and Wolverhampton

Registration Form to sit the Entrance Test at Newport Girls’ High School

for Admission to Year 7 in September 2016

Entrance Test Date 1st July 2015

For a pupil whose date of birth falls between 1st September 2004 and 31st August 2005. (They will be in Year 5 of primary education at the time of the test). Pupils will be allowed to sit the test only once.

Candidate’s details in capital letters please:

Girl’s Surname or Family Name:
Girl’s Forenames:
Date of Birth:
Full Names of Parents/Carers: / Title: Mr/Mrs/Ms/Miss/Dr/Other (please state)
Forename:
Surname/Family Name: / Relationship to Child:
Title: Mr/Mrs/Ms/Miss/Dr/Other (please state)
Forename:
Surname/Family Name: / Relationship to Child:
Home Address (where the child normally resides on weekdays and nights):
Postcode:
Daytime Telephone:
Mobile Telephone:
Email Address:
Name and address of Present School

I wish to enter my child for the Entrance Test for admission to the following school(s): Please mark box with x

Newport Girls’ High School / Queen Mary’s High School for Girls / Wolverhampton Girls’ High School
SPECIAL ARRANGEMENTS
Parents who consider that their child has a disability under the terms of the Equality Act 2010 and/or a Special Educational Need which would disadvantage her during the application of the admission procedures should submit all documents with your registration form. This must include third party evidence, for example from a qualified doctor/specialist consultant, a local authority, etc. We will not be requesting additional information ie. it is your responsibility to provide the evidence to support your child’s case. Please contact the school immediately to request the Special Arrangement Form. Please note additional information must be submitted no later than Friday 5th June so that consideration can be given to making any special arrangements or reasonable adjustments to the entrance test. If this form has not been completed and returned to the School by the deadline, no special arrangements can be considered for your child in this test.
LOOKED AFTER CHILDREN
If your child is in, or has ever been in, public care, please state below the name of the Council that is responsible for your child.
……………………………………………………………………………………………………………………………………………………………………………………………..……
If you child is adopted, was she “Looked After” immediately prior to the adoption? YES/NO

Confirmation:

·  I wish to apply for my child to sit the Entrance Test on 1st July 2015 for admission to Year 7 of the school(s) indicated above for September 2016.

·  I confirm that I have read, understood and agree to the Admissions Policies for the academic year 2016-17 for the school(s) indicated above.

·  I confirm that all of the information given on this form is correct and I understand that the inclusion of false information disqualifies the registration.

·  I confirm that I am happy for all personal data to be shared between the schools in the consortium.

Signature of Parent/Carer: ______Date: ______

COMPLETE AND SIGN THIS REGISTRATION FORM AND RETURN TO:
NEWPORT GIRLS’ HIGH SCHOOL, WELLINGTON ROAD, NEWPORT, SHROPSHIRE, TF10 7HL. FOR ACKNOWLEDGEMENT OF SAFE RECEIPT OF YOUR REGISTRATION FORM PLEASE ENCLOSE A STAMPED ADDRESSED ENVELOPE.
NO LATER THAN 5TH JUNE 2015 AT 4:00PM
IF YOU HAVE NOT HEARD ANYTHING BY 24TH JUNE PLEASE CONTACT THE SCHOOL