Leigh Academy Langley Park

Child Information

Legal First Name

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Legal Surname

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Preferred name to be called:

User

Property

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Atcontainer

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Date of Birth

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Number of gestational weeks born at:

User

Property

Atcontainer type

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Please upload a copy of your child's birth certificateMax 250MB

Edited user

Edited user type

User

Property

Atcontainer type

Atcontainer

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Gender

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Your relationship to the child:

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Current School Attended:

Current school name

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Current school postcode

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Applied Year Group

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Please verify your date of birth!

This date of birth would suggest that you (or the person you're filling the form out for) would be less than one year old! Are you sure?

Change date of birth Yes - This date is correct

Please verify your date of birth!

This date of birth would suggest that you (or the person you're filling the form out for) would be less than one year old! Are you sure?

Change date of birth Yes - This date is correct