Please read the registration procedures on the right
before completing this form. Thank You.

i. Details of Child

Name:

Date of birth:

Male/Female:

Ethnic Origin:

School year:

First language of child:

Address:

Name of Parents/Carers:

Does your child have a brother/sister at the school?

ii. Contact Details

Telephone:
(Home)

Mobile:

Email:

Emergency Contact:

iii. Saturday School Subjects

In what subjects does your child need particular support?

If other, please Specify:

iv. Additional Information

Is there anything your child should not eat or drink?

Does your child suffer from any allergies, illnesses, or epilepsy?

Please give details of recent immunisations:

Is your child taking any medication?
If yes, please specify. If you would like the tutors to keep this medication in a locked place, you must fill in a medication consent form.

v. Consent for Emergency Medical Assistance
By submitting the above information I hereby give permission for delegated members of staff at the Saturday School to administer emergency medical assistance to my child named above.

I have read, understood and completed this form in full for the purpose of registering my child as a student at the Mary Seacole Supplementary School.

Registration procedures

i. Interview
There must be an interview. This should be arranged with the OLMSSS (See Contact Us). It may give you an opportunity to see the Saturday School and to ask more questions. (Please note you cannot enrol until you have attended an interview).

At the interview, you can also enrol at the Saturday free school assuming there is availability.

ii. Registration Form
After the interview, you may register your child(ren), by completing the registration form which can be obtained online, here or by hard copy from the office (see Contact Us).

We are open Monday - Friday 09:30am - 2:30pm and Saturdays during term time from 9:30am - 2:30pm.

Please complete the following registration form and a member of the team will contact you to confirm your registration as soon as possible.