Bishop Challoner Catholic Collegiate School

GIRLS SUPPLEMENTARY FORM FOR STUDENT ADMISSION

Students Details
Forename Middle Name(s) Surname Chosen Name

D.O.B.

Address

Postcode

Home Tel No.

Parents/Carers Details: Please give details of all persons who have parental responsibility
Mother Address/Home Tel No. Day Telephone No.

Parental Responsibility? YES/NO

Father

Address/Home Tel No.

Day Telephone No.

Parental Responsibility? YES/NO

Address/Home Tel No.

Day Telephone No.

Parental Responsibility? YES/NO

Details of sisters or brothers in Bishop Challoner School.

Religious Affiliation (please circle)

Catholic Muslim Church of England Sikh Other Christian Hindu No Religion Jewish Other (please give details)

Name of Parish Priest (if applicable): Name of Church or place of worship: Is there a pastoral, social or medical reason for your child to attend Bishop Challoner?
YES NO

If the answer is yes you must attach letter from a relevant professional e.g. doctor or social worker