ST BEDE’S CATHOLIC PRIMARY SCHOOL AND NURSERY

Canon Avenue, Chadwell Heath, Romford, Essex RM6 5RR

SCHOOL APPLICATION FORM

Application for In-Year Admission

(please complete clearly in block capitals)

Child’s Surname Child’s Christian Name(s)

Date of Birth: ……………………………..….. Gender: Male £ Female £

Address: …………………………………………………………………………...... ……………….….…………

…………………………………………………………………………..….… Postcode: …………….…….……

Home Tel: ……………………….. Mobile: ……………………….… Work Tel: ………...... ……………

Name of Father……………………...... …...….. Religious Denomination: …...... ………..……......

Name of Mother…………...... ……………………. Religious Denomination: ….....………………….…....

Do you reside in the London Borough of Redbridge? Yes £ No £
(proof of residency required e.g. Council Tax Statement, )
If you do not live in Redbridge, tell us which Borough you live in: ……………..…………………………..…
Which year group are you applying for? ……………………….. (e.g.: Reception, Y1, Y2, Y3, Y4, Y5, Y6 )
Does your child have any Special Needs and/or diagnosed Medical conditions: Yes £ No £
e.g. hearing, sight, asthma, epilepsy, disabilities, allergies, etc?
If yes, please state: …………………………………………………………….………………………………….
…………………………………………………………………………………….………………………………….
Name of child’s Doctor / Hospital / Health Agency, etc: ……………………………………………………….
………………………………………………………………………………………...……………………….….....
Do you have another child at St. Bede’s? Yes £ No £
If Yes, state their name: …………………………………………………………… Class ……………
If your child is transferring from another school:
Name and address of school………………………………………………………………………….….………
………………………………………………………………….. Tel No: ……...…...... …..…...….
Which year group is the child in? ………….. Head teacher’s Name: ………………………...... ……..…
Parents may wish to give a brief statement in support of their application:
......
......
......
......
......

Signature of mother: ……………………………………………………………Date: …………………………..
Signature of father: ……………………………………………………………Date: …………………………..

Copies of the following documentation attached to this application:
Birth Certificate
Baptismal Certificate
Priest Reference Form or Faith Leader Form
Proof of address* (1)
Proof of address* (2)
*Please ensure that proof of address (e.g. utility bill, bank statement etc) is dated within the last 3 months. A current dated Council Tax Statement is acceptable.
PLEASE RETURN YOUR COMPLETED IN-YEAR ADMISSIONS FORM TO
THE SCHOOL OFFICE WITH ORIGINALS OF REQUIRED SUPPORTING DOCUMENTS
For office use only
Receipt No: ..………..…….
If the application is incomplete, the following remain outstanding:
…………………………………………………………………………………………………………..
…………………………………………………………………………………………………………..
Received by: ……………………………………………………...... Date: ………………....……..

St Bede’s Application Sch/In-Year Admissions