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Medical
Statement:
Please
state all Skin blemishes on your
child,
_______________________________
Please
state all Medial Illnesses, and medical
conditions that your child may suffer from
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:_______________________________
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:_______________________________
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OTHER
INFORMATION;
Please
tell us here anything else that you would
like us to know.
You
should also tell us about any issued reference
codes and/or groupings
_____________________________________________________
_____________________________________________________
Special
Skills (if any):
Please send in photo copies of any special
certificates as verification of achievements
____________________________________
____________________________________
Statement
from parent /child.
please tell us below in
less than 35 words
any
Supporting Statement/information
You may
submit this on separate paper include:
Up
to 35 words i.e interests/skills/Dance/Drama/Tennis
and levels of achievements.
____________________________________
____________________________________
____________________________________
____________________________________
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Brothers
and Sisters:
Number
of siblings to be included
with
this application: ______________
Siblings
Names and Date of Births:
____________________________________
____________________________________
____________________________________
____________________________________
On
separate paper please provide each Sibling’s
Name and Vital Measurements and
Statistics.
You
may print this form again and submit it
with your application. Or send in
your child's CV or a simple information
sheet it should include the following:
Height,
Age, Date of Birth, Eye and Hair Colour,
Weight: Build and Shoe sizes. For Older
Brother and Sisters / Teenagers please
also state your siblings: WAIST, HIPS,
DRESS/SUIT SIZE, CHEST/BUST SIZE,
For
older boys/Teens please Add Collar and
Inside leg measurements
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Do
remember to also tell us about each child's
specials skills and talents, and where
applicable do send in CV’s
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P arent
Name____________________________________
Child
Name/s ____________________________________
Child
Date of Birth:
_________________________________
ADDRESS:
____________________________________
____________________________________
____________________________________
____________________________________
TOWN____________________________________
CITY____________________________________
POST
CODE
ZIP
CODE:___________________________
COUNTRY_____________________________________
If
known ..
PLEASE
STATE YOUR LOCAL AUTHORITY DISTRICT COUNCIL
i.e..
London Borough of Wandsworth Council,
Basildon
District Council
Stockport
Metropolitan Borough Council,
Portsmouth
City Council
Liverpool
City Council, Leeds City Council
Please
state your local authority council
below. If you also know of your child
education authority please tell us about
this as well
If
known .. please tell us about your childs
Local
Authority Council_________________________________________________
Education
Authority_________________________________________________
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