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LMA 2020/21 Online Admission Form

This is the Little Maysoor Academy's electronic online admission form for 2020/21

Click the button below to begin completing your admission form

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Question 1 of 26

CHILD ONE

Forename(s) & Surname

Question 2 of 26

CHILD ONE
Gender

A

Male

B

Female

Question 3 of 26

CHILD ONE
Date of Birth (Day/Month/Year)

Question 4 of 26

CHILD TWO

Forename(s) & Surname

If you do not have another child, please type 'NA'

Question 5 of 26

CHILD TWO
Gender

A

Male

B

Female

C

Not applicable

Question 6 of 26

CHILD TWO
Date of Birth (Day/Month/Year)

If you do not have another child, please type 'NA'

Question 7 of 26

CHILD THREE

Forename(s) & Surname

If you do not have another child, please type 'NA'

Question 8 of 26

CHILD THREE
Gender

A

Male

B

Female

C

Not applicable

Question 9 of 26

CHILD THREE
Date of Birth (Day/Month/Year)

If you do not have another child, please type 'NA'

Question 10 of 26

CHILD FOUR
Gender

Question 11 of 26

CHILD FOUR
Gender

A

Male

B

Female

C

Not applicable

Question 12 of 26

CHILD FOUR

Forename(s) & Surname

If you do not have another child, please type 'NA'

Question 13 of 26

PERMANENT ADDRESS OF RESIDENCE

Please type the full address including house number, street and post code

Question 14 of 26

Languages Spoken

Question 15 of 26

Ethnicity

Question 16 of 26

MOTHER'S CONTACT DETAILS
Full Name:

Question 17 of 26

MOTHER'S CONTACT DETAILS
Home No:

Work No:

Mobile:

Question 18 of 26

MOTHER'S CONTACT DETAILS
Home No:

Work No:

Mobile:

Email Address:

Question 19 of 26

MOTHER'S CONTACT DETAILS

Email Address:

Question 20 of 26

FATHER'S CONTACT DETAILS
Full Name:
Occupation:

Home No:

Work No:

Mobile:

Email Address:

Question 21 of 26

ALTERNATIVE CONTACT DETAILS  (Emergency Details)

Please include full name, relationship to child and a contact number

Question 22 of 26

PERSON(S) AUTHORISED TO COLLECT THE CHILD FROM THE ACADEMY

Please list the name(s), relationship to child and the contact number(s) below:

e.g. [name], [relationship to child], [contact number]

Question 23 of 26

OTHER DETAILS (Learning Disabilities)

Does your child(ren) have any learning disability? If yes, please give details of their individual names and their disability.

Question 24 of 26

OTHER DETAILS (Allergies)

Does your child suffer from any medical condition(s)/allergy(ies)? If yes, please give details of their individual names and their allergy.

Question 25 of 26

OTHER DETAILS (Medication)

Does your child take any regular medication? If yes, please give details of their individual names and their medication.

Question 26 of 26

DECLARATION

I, the Parent/Guardian of the above mentioned child confirm that all the information provided in this Admission form is true to the best of my knowledge. I agree to abide by the Little Maysoor Academy Admission Policy and fully accept and understand that my child will be expected to abide by all rules and regulations laid down by the Little Maysoor Academy.

A

Agree

B

Disagree

Confirm and Submit