In Year Admissions Form

Application for a school place at The Southwater Infant Academy.

If you have any questions or queries please contact office@southwaterinfants.co.uk

Child's details

Child's first name (s)* Child's Surname* Child's legal surname Child's date of birth*

Child's gender*MaleFemale

Child’s current address* Child's new address & date of move (if applicable) Child's current school, or school most recently attended*

Supporting information

My child has an EHCP*YesNo

My child is/ was previously looked after by the Local Authority*YesNo

My child has been permanently excluded from one or more schools*YesNo

If YES please provide name, address, phone number and email address of the first school from where your child was excluded Date of permanent exclusion from first school (dd,mm,yyyy) If YES please provide name, address, phone number and email address of the second school from where your child was excluded Date of permanent exclusion from second school (dd,mm,yyyy)

My child has a brother/ sister currently attending The Southwater Infant Academy*YesNo

If Yes please provide Name and Date of Birth (dd/mm/yyyy) of sibling(s)

Confirmation

By completing this form I confirm that I have parental responsibility for this child and that all the information given is legal and true.
I understand that I must notify the academy of any change in my circumstances.
I understand that any offer of a place made as a result of this application may be withdrawn if I give false information or fail to notify the academy of any changes.

Title* Your first name* Your last name* Relationship to child* Email address* Phone Number*

The Southwater Infant Academy use personal data in line with our Privacy Policy. The Southwater Infant Academy respects your privacy and is committed to protecting your personal data. We comply with the Data Protection Act 2018 and the General Data Protection Regulations EU 2016/679) (GDPR). For further information, see our Privacy Notice on our website.