Admission form
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St. Mary’s Catholic Primary School Aston le Walls “a place of educational excellence with Christ at its centre” Main Street, Aston-le-Walls, Daventry, Northants, NN11 6UF Tel 01295 660258, email head@stmarys-pri.northants-ecl.gov.uk http://www.stmarysrc-astonlewalls.co.uk Private and Confidential Admission Information Full legal name of child ……………………………..................................................... Preferred name (if different from above)………………………D.O.B……………... Home Address ………………………………………………………………………. ………………………………………………………………………. ………………………………………………………………………. Telephone ………………………………………… E-mail ……………………………………………………………………… Name of Mother …………………………………… Religion ……………………... Name of Father …………………………………… Religion …………………….. Name of Legal Guardian …………………………. Religion …………………….. (if different from above) Address of Mother/Father/Guardian (if different from home address) .......................................................................................................................................... ………………………………………………………………………………………….. Religion of child ……………………………………. Place and date of Baptism …………………………………………………………… (Please include a photocopy of the Baptismal Certificate) Names and ages of siblings already attending St. Mary’s ………………………………………………………………………………………….. Head Teacher: Mrs Kirstie Yuen Chair of Governors: Mrs R Rowe Reasons for applying to St. Mary’s ………………………………………………………………………………………….. ………………………………………………………………………………………….. ………………………………………………………………………………………….. ………………………………………………………………………………………….. ………………………………………………………………………………………….. ………………………………………………………………………………………….. ………………………………………………………………………………………….. Signed ……………………………………… parent/guardian Date ……………………………………….. Head Teacher: Mrs Kirstie Yuen Chair of Governors: Mrs R Rowe
