Appeal against non-admission of a child to Lees Brook Community School
Full name of child

 

Child’s Legal Forename

 

Child’s Middle Name(s)

 

Child’s Legal Surname

 

Child’s Date of Birth:
Child’s Age:

 

Year Group for entry:
Gender:

 

Your Address including postcode:

 

Contact Telephone Number(s)

 

Home:

 

Work:

 

Mobile:

 

E-mail:

 

Child’s Current School:

 

Is the child in care?
If yes, by which authority?

 

Please state your reasons for your choice of school and why you are appealing

 

Signature………………………………………………………………………. (Parent/Carer)

 

FULL NAME (please print) ……………………………………………………..

 

Relationship to Child………………………………………………………...........

 

Date…………………………

 

If you wish, you may attach further information to this form

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