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This form must be returned by 31st July 2019 to: Year 10 Admissions, Elutec, Yew Tree Avenue, Rainham Road South, Dagenham East, RM10 7FN or admissions@elutec.co.uk

Child's Details

Main home address

Education Details

Additional Information

Special Educational Needs

Does your child have a Statement of Special Educational Needs or an Education and Healthcare Plan?
Does your child have any other needs you feel we should know about?

Child In Care

Is or was your child in the care of a local authority?

If yes, which local authority was responsible?

Please also provide a letter from the social worker confirming the legal status of the child and name of the local authority the child is/was in the care of.
How Did You Hear About Us

Parent / Carer Details

Main Contact

Parental Declaration

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