Huyton- with- Roby School Appendix 1.
Supplementary Form
This form should be completed in addition to the Local Authority preference form by any applicants who wish to be considered under criterion 1.2 or 1.3 of the school policy and returned directly to the school by the closing date specified.
This form will be disregarded if the applicant does not name Huyton- with- Roby School as a preference on the Local Authority application form.
Name of child:
Surname……………………………………….Christian names……………………………….
Date of Birth…………………………………..
Name of parent/guardian......
Address……………………………………………………………………………………………
………………………………………………………Post Code………………………………………
Telephone ……………………………………..Mobile…………………………………………
Place of worship one of parents/guardians regularly attends:
Name of place of worship………………………………………………………………………
Address…………………………………………………………………………………………..
……………………………………………………………………………………………………
Name of vicar/priest/minister/faith leader……………………………………………………
Address………………………………………………………………………………………….
……………………………………………………………………………………………………
Post Code……………………………………….. Telephone………………………………..
Worship attendance:
How frequently do you attend worship?
At least fortnightly Less
For how long has this been your practice?
For 1 year or more Less
Please obtain your faith leader’s signature below in order to confirm this information before submitting this form to school.
Signed………………………………………. Vicar/minister…………………………………………
Date…………………………………………
Huyton- with- Roby School Appendix 2.
Supplementary Form
This form should be completed in addition to the Local Authority preference form by any applicants who wish to be considered for a nursery place under criterion 1.2 or 1.3 of the school policy and returned directly to the school by the closing date of 15th January of the year in which September admission is sought.
Name of child:
Surname……………………………………….Christian names……………………………….
Date of Birth…………………………………..
Name of parent/guardian......
Address……………………………………………………………………………………………
……………………………………………Post Code………………………………………
Telephone ……………………………………..Mobile…………………………………………
Place of worship one of parents/guardians regularly attends:
Name of place of worship………………………………………………………………………
Address…………………………………………………………………………………………..
……………………………………………………………………………………………………
Name of vicar/priest/minister/faith leader……………………………………………………
Address………………………………………………………………………………………….
……………………………………………………………………………………………………
Post Code……………………………………….. Telephone………………………………..
Worship attendance:
How frequently do you attend worship?
At least fortnightly Less
For how long has this been your practice?
For 1 year or more Less
Please obtain your faith leader’s signature below in order to confirm this information before submitting this form to school.
Signed………………………………………. Vicar/minister…………………………………………
Date…………………………………………
1