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Parent/Legal Guardian Salutation *

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Mrs
Ms
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Parent/Legal Guardian Name *

Parent/Legal Guardian Email *

Parent/Legal Guardian Tel *

Parent/Legal Guardian Mobile *

Parent/Legal Guardian Address *

Address Line 1

Address Line 2

City

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Postal Code

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What is your relationship to the child(ren)? *

Mother
Father
Legal Guardian

Are either the parents or legal guardians in the: *

Military
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NHS
None of the above

Number of children you are looking to enrol *

Child 1 Name - Please include middle name if there is one *

Child 1 gender *

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Child 1 date of birth *

Is your child at another school or setting? *

If yes, please give the name and address *

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Child 2 Name - Please include middle name if there is one *

Child 2 gender *

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Child 2 date of birth *

Is your child at another school or setting? *

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Child 3 Name - Please include middle name if there is one *

Child 3 gender *

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Child 3 date of birth *

Is your child at another school or setting? *

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Do you consent to Lyndhurst School contacting the previous school? *

Child 4 Name - Please include middle name if there is one *

Child 4 gender *

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Child 4 date of birth *

Is your child at another school or setting? *

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Do you consent to Lyndhurst School contacting the previous school? *

Is English your child(rens) main language *

If no, please specify *

Has your child received any additional support with any of the following? If yes, please provide more detail on the next section *

N/A
Speech, language, communication difficulties
Specific learning difficulties
Behavioural difficulties
Social or interaction difficulties
Hearing or visual impairment
Physical difficulties

Additional Support Details

Are there any health issues or dietary requirements? *

Anticipated Date of Entry *

How did you hear about Lyndhurst School? *

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