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Your first name *

Your last name *

Your email *

Your telephone number *

Your relationship to the child *

Child's first name *

Child's surname *

Child's date of birth *

 

Child's home address including post code *

Please state the date of your preferred visit *

Name of sibling(s) at (or previously attended) the school *

Your child's current nursery/school? *

Any special educational needs *

Preferred start date *

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How did you hear about us? *