In year admissions form

You and your child's details
Your title
Your full name
Your date of birth
Blackpool address
Proof of address in Blackpool

You need to provide proof of the address in Blackpool that you are moving to. Proof could include a copy of the tenancy agreement, a solicitor's letter confirming the purchase, a council tax statement or utility bill
Date the child(ren) are moving into this address
Relationship to the child
MotherFatherGrandparentFoster carerOther
Do you hold parental responsibility?
YesNo
If no, please explain why you are applying for a school place
Mobile telephone number
Home telephone number
Work telephone number
Email

Child 1
Child's legal name
Child's chosen name
Date of birth
Current Year Group
Gender
MaleFemale
Child's first language if not English
Pupil background
Has your child special educational needs?
YesNo
Please advise us of your child's special educational needs
Education, Health and Care plan/Full statement of SENUnder formal assessmentSchool action plusSchool action

If your child hasn an EHC/Full statement of SEN contact your current named SEN officer and inform them that you are moving to Blackpool. The Blackpool statutory assessment team can be contacted on 01253 476553 if you have any questions.
Specific medical problems
YesNo
Please give details of any specific medical problems?

Such as diabetes
Does your child have exclusion history?
YesNo
If your child has been excluded from school, please give details including number of permanent exclusions, number of days and occasions of fixed exclusions and reasons.
Do you wish to apply for another child

Child 2
Child's legal name
Child's chosen name
Date of birth
Current Year Group
Gender
MaleFemale
Child's first language if not English
Pupil background
Has your child special educational needs?
YesNo
Please advise us if your child has special educational needs
Education, Health and Care plan/Full statement of SENUnder formal assessmentSchool action plusSchool action

If your child hasn an EHC/Full statement of SEN contact your current named SEN officer and inform them that you are moving to Blackpool. The Blackpool statutory assessment team can be contacted on 01253 476553 if you have any questions.
Specific medical problems
YesNo
Please give details of any specific medical problems?

Such as diabetes
Does your child have exclusion history?
YesNo
If your child has been excluded from school, please give details including number of permanent exclusions, number of days and occasions of fixed exclusions and reasons.
Do you wish to apply for another child

Child 3
Child's legal name
Child's chosen name
Date of birth
Current Year Group
Gender
MaleFemale
Child's first language if not English
Pupil background
Has your child special educational needs?
YesNo
Please advise us if your child has special educational needs
Education, Health and Care plan/Full statement of SENUnder formal assessmentSchool action plusSchool action

If your child hasn an EHC/Full statement of SEN contact your current named SEN officer and inform them that you are moving to Blackpool. The Blackpool statutory assessment team can be contacted on 01253 476553 if you have any questions.
Specific medical problems
YesNo
Please give details of any specific medical problems?

Such as diabetes
Does your child have exclusion history?
YesNo
If your child has been excluded from school, please give details including number of permanent exclusions, number of days and occasions of fixed exclusions and reasons.
Do you wish to apply for another child

Child 4
Child's legal name
Child's chosen name
Date of birth
Current Year Group
Gender
MaleFemale
Child's first language if not English
Pupil background
Has your child special educational needs?
YesNo
Please advise us if your child has special educational needs
Education, Health and Care plan/Full statement of SENUnder formal assessmentSchool action plusSchool action

If your child hasn an EHC/Full statement of SEN contact your current named SEN officer and inform them that you are moving to Blackpool. The Blackpool statutory assessment team can be contacted on 01253 476553 if you have any questions.
Specific medical problems
YesNo
Please give details of any specific medical problems?

Such as diabetes
Does your child have exclusion history?
YesNo
If your child has been excluded from school, please give details including number of permanent exclusions, number of days and occasions of fixed exclusions and reasons.
Do you wish to apply for another child

Child 5
Child's legal name
Child's chosen name
Date of birth
Current Year Group
Gender
MaleFemale
Child's first language if not English
Pupil background
Has your child special educational needs?
YesNo
Please advise us if your child has special educational needs
Education, Health and Care plan/Full statement of SENUnder formal assessmentSchool action plusSchool action

If your child hasn an EHC/Full statement of SEN contact your current named SEN officer and inform them that you are moving to Blackpool. The Blackpool statutory assessment team can be contacted on 01253 476553 if you have any questions.
Specific medical problems
YesNo
Please give details of any specific medical problems?

Such as diabetes
Does your child have exclusion history?
YesNo
If your child has been excluded from school, please give details including number of permanent exclusions, number of days and occasions of fixed exclusions and reasons.
Do you wish to apply for another child

Child 6
Child's legal name
Child's chosen name
Date of birth
Current Year Group
Gender
MaleFemale
Child's first language if not English
Pupil background
Has your child special educational needs?
YesNo
Please advise us if your child has special educational needs
Education, Health and Care plan/Full statement of SENUnder formal assessmentSchool action plusSchool action

If your child hasn an EHC/Full statement of SEN contact your current named SEN officer and inform them that you are moving to Blackpool. The Blackpool statutory assessment team can be contacted on 01253 476553 if you have any questions.
Specific medical problems
YesNo
Please give details of any specific medical problems?

Such as diabetes
Does your child have exclusion history?
YesNo
If your child has been excluded from school, please give details including number of permanent exclusions, number of days and occasions of fixed exclusions and reasons.

School information
Please advise us of your child(rens) last school
Name, address and telephone number of the last school attended for each child, including the date last attended
Name and date of birth of any child not yet of school age
Additional information
Is your child(ren) looked after by the local authority?
YesNo
If your child(ren) is looked after by the local authority (in care), please provide the name of their social worker and a contact telephone number
Is or has your child(ren) been subject or previously subject to a child protection plan?
YesNo
If your child(ren) has been subject to a child protection plan,. please provide dates of the plan
Are there any other agencies involved with the family?
YesNo
Please state any other agency your child(ren) has involvement with such as social worker, family support worker and their contact telephone number
Previous address
Please give the address that you are leaving
Declaration
I certify that the information given on this form is correct
Name
Date

Your preferences
Please state below which primary or secondary school you would prefer your child(ren) to attend. All your preferences will be considered equally. However, if more than one school can offer a place, your highest ranked school will be allocated.
It is strongly recommended that you state three school. If you only state one preference and we are unable to offer a place at that school, then we will make an alternative offer of the closest school to your home address that has availabillity.
Preferred primary school
In order of preference, please see notes on next page about faith schools
1st choice primary school
Please state your reasons for requesting this school
2nd choice primary school
Please state your reasons for requesting this school
3rd choice primary school
Please state your reasons for requesting this school
Preferred secondary school
In order of preference, please see notes on next page about faith schools
1st choice secondary school
Please state your reasons for requesting this school
2nd choice secondary school
Please state your reasons for requesting this school
3rd choice secondary school
Please state your reasons for requesting this school

Application for a church school
If you are applying for a school on faith grounds, you should provide evidence with the application as the governing body will have no information on which to asses your faith commitment/membership.
If you are applying for a place in a Roman Catholic school, please complete the following
Is your child(ren) a baptised Roman Catholic?
YesNo
If your child(ren) is not a baptised Roman Catholic you may wish to provided additional information in the space below about why you are seeking a place at a catholic primary school, for example, one or both parents are catholic.
If you are applying for a place in a Church of England school, please complete the following
What faith do you belong to?
If you attend a place of worship please state which one, and provide the name and address of the faith leader

We will endeavour to respond within 10 school days of receipt of an application, subject in some cases to accuracy checks and the availability of relevant background information.
If a school place is offered and this is then found to have been based on inaccurate or misleading information then it may be withdrawn. This can apply even when a child has started at school.

In year admissions form

In-year school admissions form for new to area admissions and children returning to mainstream education

Application

Additional information