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This form must be returned by 31st July 2019 to: Year 12 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?
How Did You Hear About Us

Parent / Carer Details

Main contact

Parental Declaration

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