Please complete the questionnaire by the published date to allow us to make appropriate arrangements to test your child. This information may be used on the test day to help support your child to demonstrate their potential. All information given will be treated in the strictest confidence. The information you supply and the test outcomes will be shared with all schools in the consortium (Bournemouth School for Girls, Bournemouth School, Parkstone Grammar School and Poole Grammar School) and GL Assessment. Please complete all questions and click on the "submit" button at the end of this form. An e-mail confirming the information has been received will follow shortly to the email address you have supplied. If you have not received an email response within 24 hours please contact the Admissions Officer (01202 526289) or submit a written application form by post.
Child's Legal Surname

Child's Legal First Name

Child's Date of Birth	dd/mm/yyyy
Confirm Child's Date of Birth
Child's Gender	Female Male

Child's Current School

Child's Home Address

(this must be where the child normally lives)
Town / City
County
Postcode
Home Local Authority:

BCP (Council of Bournemouth,Christchurch,Poole) Other

I confirm my daughter will sit the test at Bournemouth School for Girls and I understand test score information will be shared between the consortium schools and GL Assessment	YES

Please indicate which school you are likely to apply for a school place at:

Bournemouth School for Girls Parkstone Grammar SchoolBoth

Is your child entitled to 'Pupil Premium' payments?	YESNO
(Pupil Premium children are those who have been registered for free school meals at any point in the last six years (known as 'Ever 6 FSM'), children who have been looked after continously for more than six months and children of service personnel (Ever 6). The list of welfare support payments that trigger FSM eligibility can be found at www.gov.uk/apply-free-school-meals If you answer 'YES' to this question, please provide evidence to the school no later than Thursday 31st October 2019)

Does your child have a Special Educational Need and / or Disability which might affect their performance in the entrance tests?

YESNO

(If you answer 'YES' to this question, please download and complete the Application for Access Arrangements form and append the necessary evidence, which must be received by the school no later than 12 noon on Monday 9th September 2019)

Does your child have a Statement of Special Educational Need / Educational Health Care Plan?

YESNO

(If you answer 'YES' to this question please download and complete the Application for Access Arrangements form and append the necessary evidence, which must be received by the school no later than 12 noon on Monday 9th September 2019).

Home Telephone Number
Mobile Telephone Number
Emergency contact number for Saturday 21st September where we will be able to contact you
E-mail address of Parent / Carer
Confirm e-mail address
Declaration I have read the admissions policy and the instructions and arrangements for candidates which are published on the school website.The information I have provided is accurate. I accept that the information that I have supplied will be shared between the consortium schools and GL Assessment.
Name(s) of Parent / Carer (completing this form)