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Bishop Challoner Catholic Collegiate School
 
GIRLS SUPPLEMENTARY FORM FOR STUDENT ADMISSION
2011-2012
Students Details
Forename
 
SurnameMiddle Name(s)ChosenName
 
D.O.B.AddressPostcodeHome Tel No.
Parents/Carers Details
: Please give details of all persons who have parental responsibility
MotherAddress/Home Tel No.Day Telephone No.
Parental Responsibility? YES/NO
FatherAddress/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 (must be in attendance (or expected to be) inSeptember 2011)
:
Religious Affiliation (please circle)
CatholicChurch of EnglandOther ChristianHinduJewishMuslimSikhNo ReligionOther (please give details
)
Name of Parish Priest (if applicable):
/opt/scribd/conversion/tmp/scratch17766/31532235.doc
 
Name of Church or place of worship
:
Is there a pastoral, social or medical reason for your child to attend Bishop Challoner?
 YESNO
If the answer is yes you must attach letter from a relevant professional e.g. doctor or social worker 
/opt/scribd/conversion/tmp/scratch17766/31532235.doc

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