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This form must be returned by 9th May 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?

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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