Registration Form

The Perse Pelican Registration Form
We are delighted you wish to register your child for a place at The Perse Pelican Nursery and Pre-Prep.

Please ensure you read the Admissions Policy before completing the registration form.

Unfortunately the form cannot be saved and returned to at a later date, so if you close your browser before you have completed the form, the information you have entered will be lost.

Any fields marked with an asterisk (*) are compulsory, and you will need to have copies (scans or pictures) of your child's passport (or birth certificate) and visa details (share code, or both sides of a BRP) ready to attach in order to complete the form.

You can make the text larger on the screen by pressing 'Ctrl +', and 'Ctrl –' pressed together will make the font size smaller.

If you have any admissions policy or process questions please contact PelicanSchoolSec@perse.co.uk or call 01223 403940 to speak to Marianne Hipperson in Admissions.

We look forward to receiving your application.

Child's Details:
Legal Surname/ Family Name:*
Legal Forename/ Given Name:*
Preferred Name (if different)
Preferred name will be used day to day by staff, appear on registers, letters and emails from the school etc
Middle name(s):
Date of birth*

DayMonthYear
Sex*

MaleFemale
Please upload a copy of your child's passport:*

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(or, in the absence of a passport, a birth certificate) Cancelof
Child's Nationality:*

British or IrishOther (please, state below)
Nationality (if 'other')
If 'other', please upload a copy of the child's immigration status documentation (e.g. both sides of a BRP card, a share code, etc).

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If English is not the child's first language, please indicate their first language below:
Other languages spoken at home (including frequency):
Current address:*
The Perse is a day school and pupils should live within reasonable commuting distance of the School (usually defined as within 1 hour travelling time). If you currently live outside of the School’s catchment, please explain how you will meet our residency requirements.
Residency Requirements:
Year group:
Year of entry:

Confidential Information

The information requested on this form is needed because the School has contractual and statutory duties towards your child. For more information about how the School will use your information, and your child's information, please see the privacy notices available on the website. The information provided in this section will enable the School to safeguard your child when they are on school site and to consider any reasonable adjustments that it may need to make to assist your child to partake in the admissions procedure and when assessing candidates, or when they enter the School - how best to support their wellbeing and education should they become a pupil.

The School shall determine the reasonable adjustments or access arrangements that are required in the Perse Entrance Assessments for the applicant based on the information in this section and in consultation with the Head of Learning Support. Any relevant information should be provided at least two weeks before attending entrance assessments. Late requests will not be accepted, except in the case of recent injury.
Please detail any known medical condition, health issue or physical disability affecting your child (e.g. allergies, chronic health conditions visual or hearing impairment, hypermobility, etc):
Please detail any known social, emotional, or mental health conditions affecting your child (e.g. ADHD, eating disorders, anxiety, depression, etc)
Please detail any known learning differences affecting your child (e.g. ASD, dyslexia, dyspraxia, dyscalculia, or other processing or memory issues)
Is your child currently in receipt of LearningSupport in their current school?*

YesNoN/A - not yet at a school/nursery
Please detail any current access arrangements in place for your child: A letter or reference will be requested from your child’s current school in due course to confirm their normal way of working
Please upload copies of any specialist/medical report(s) relating to the above which diagnoses a condition and/or has recommendations for the way your child is supported in school/assessments. A diagnostic report and letter/reference from their current school will be required to agree any access arrangements:
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Specialist/medical report(s) Cancelof
Please give details of any medication(s) which your child will bring with them for the entrance assessments (Tick all that apply):

AAI/EpipenInhalerInsulinNoneOther

Perse Connections

This section is purely for information and will not affect the outcome of any application.

Visits:

Have you and/or your child attended any of the following:
Pelican Open Morning - Select Year:
School Tour - Select Year:
Please upload a text document in the field below and provide some further information on why you are applying to The Perse Pelican and why you feel The Perse is the right school for your child:

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Please give details of any connection you may have to The Perse School, including sibling connections or former pupils (Old Perseans). Please include any relevant dates when possible.
Current school:

No previous / current school
Name of current school or nursery:
Website address:
Name of Head (including title):
Email of Head:
Date of joining current school

DayMonthYear

The registration fee can be waived if you are currently entitled to:
- Free School Meals (due to means-assessment and not simply for attendance at a Primary School where all pupils are entitled to free school meals)
- Income Support
- Income-based Jobseeker’s Allowance or Employment and Support Allowance
- Support under Part VI of the Immigration and Asylum Act 1999, or the guaranteed element of Pension Credit
- Child Tax Credit (provided you’re not also entitled to Working Tax Credit and have an annual gross income of no more than £16,190)
- Working Tax Credit
- Universal Credit
If any of the above apply, please attach documentary evidence below (e.g. a letter or email from the current school, or Local Authority) so that we can waive the registration fee.
Evidence to support the Registration Fee being waived:

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Please read and tick each statement to complete your registration.
Declarations:
1*

I request that the child be registered as a prospective pupil and attend the entrance screening. I will pay the non-refundable registration fee via the following payment screen.
2*

I understand that this information will be used by the School during the admissions process in order to manage and assess the application and my child’s suitability for a place at the School, and that my information may be shared with credit reference agencies.
3*

I understand the school will contact other people with parental responsibility to inform them of the progress of this application, give details of entrance screening, and seek their consent to the child joining the School.
4*

I have read the Admissions Policy (available on the website perse.co.uk)
5*

I agree to allow any of the school staff to administer first aid should the need arise. I further consent to the giving of any urgent medical or surgical treatment to my child which is considered necessary by medical authorities during the visit. I understand that in the case of accident or serious illness all reasonable attempts will be made to contact me as soon as possible.
6*

I declare that to the best of my knowledge all the information given in this form is true and correct at the point of submission.
Signature*

Thank you for completing this registration form, a copy of which will be emailed to you. When you click submit, please do not close the window until payment screen displays, as it may take a few moments for your form to be processed.

You will then be transferred to the payment screen to make payment of the registration fee, which is the final step required to submit your application. The registration fee reflects the costs incurred by the School in administering the admissions process before the offer of a place is made and is non-refundable irrespective of whether or not the registered child attends the entrance tests.

Please ensure that the child’s surname and year group they are applying for is quoted as a reference so that the payment can be matched to their application. Failure to do so may delay your application (e.g. YNSmith, YRZhang, Y1Brown etc).
Should be Empty:

The Perse Pelican Registration Form