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Southfields Academy
Parent Registration
Application form
Phones
Phone type
*
Mobile
Home
Work
Phone number
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Primary
Main
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Parent's Details
Title
Mr
Mrs
Ms
Miss
Br
Dame
Lady
Rev
Fr
Dr
Prof
Pstr
Sir
Sr
Lord
Hon
Relationship
*
["Mother", "Mother"]
["Father", "Father"]
["Foster Father", "Foster Father"]
["Foster Mother", "Foster Mother"]
["Grandparent", "Grandparent"]
["Auntie", "Auntie"]
["Brother", "Brother"]
["Carer", "Carer"]
["Childminder", "Childminder"]
["Cousin", "Cousin"]
["Doctor", "Doctor"]
["Family Friend", "Family Friend"]
["Foster Parent", "Foster Parent"]
["Godparent", "Godparent"]
["Guardian", "Guardian"]
["Head Teacher", "Head Teacher"]
["Link Worker", "Link Worker"]
["Neighbour", "Neighbour"]
["Other Contact", "Other Contact"]
["Other Family Member", "Other Family Member"]
["Other Relative", "Other Relative"]
["Probation Service", "Probation Service"]
["Religious/Spiritual Contact", "Religious/Spiritual Contact"]
["Sister", "Sister"]
["Social Worker", "Social Worker"]
["Step Father", "Step Father"]
["Step Mother", "Step Mother"]
["Step Parent", "Step Parent"]
["Teacher", "Teacher"]
["Uncle", "Uncle"]
["Other", "Other"]
First Name
*
Last Name
*
Gender
*
Other
Male
Female
Date of Birth
*
Addresses
Postcode
*
Flat name and or number
House name or number
*
Street
*
Town/City
*
County
*
District
*
Country
*
United Kingdom
BLR
BEL
BEN
BLZ
BTN
BOL
Bosnia and Herzegovina
BWA
BRA
BDI
BRN
Burkina Faso
BGR
CMR
CAN
Central African Republic
GAB
Gambia, The
GEO
DEU
GHA
GRC
GRD
GTM
Guinea-Bissau
GIN
GUY
HTI
HND
HUN
ISL
IND
IDN
IRN
IRL
IRQ
ISR
ITA
Ivory Coast
JAM
JPN
JOR
KAZ
KEN
KIR
Korea, North
Korea, South
KWT
KGZ
LAO
LVA
LBY
LBN
LSO
LBR
LIE
LTU
LUX
MKD
MDG
MWI
Marshall Islands
MRT
MDV
MYS
MEX
FSM
MLI
Saudi Arabia
SEN
Isle of Man
SYC
Sierra Leone
SGP
Saint Kitts and Nevis
SVK
SVN
Solomon Islands
SOM
ESP
Sri Lanka
Saint Lucia
SDN
SUR
Saint Vincent and the Grenadines
SWZ
SWE
CHE
SYR
TWN
TJK
TZA
THA
TGO
TON
Trinidad and Tobago
TKM
TUN
TUR
TUV
United Arab Emirates
UGA
UKR
URY
United States
UZB
VUT
Holy See (Vatican City)
VEN
VNM
YEM
ZMB
ABW
AIA
Aland Islands
American Samoa
Netherlands Antilles
BMU
Bouvet Island
Cocos (Keeling) Islands
Cook Islands
Christmas Island
Cayman Islands
Falkland Islands
Faroe Islands
GIB
GLP
GRL
French Guiana
GUM
Hong Kong
MAC
Northern Mariana Islands
MSR
MTQ
MYT
New Caledonia
Norfolk Island
NIU
PCN
Puerto Rico
PSE
French Polynesia
REU
Serbia and Montenegro
South Georgia
St Helena, Ascension and Tristan da Cunha
Svalbard and Jan Mayen
Saint Pierre and Miquelon
Turks and Caicos Islands
TKL
British Virgin Islands
US Virgin Islands
Wallis and Futuna
JEY
MNE
SRB
Bonaire, Sint Eustatius and Saba
CUW
QOK
Saint Martin (French Part)
Sint Maarten (Dutch Part)
South Sudan
St Barthelemy
Not Yet Obtained
STA
Not Known
NER
AFG
ALB
DZA
AND
AGO
Antigua and Barbuda
ARG
ARM
AUS
AUT
AZE
BHS
BHR
BGD
BRB
Congo, Democratic Republic
TCD
CHN
CHL
KHM
COL
COM
COG
Costa Rica
HRV
CUB
Cape Verde
CYP
Czech Republic
DNK
DJI
Dominican Republic
DMA
ECU
EGY
El Salvador
Equatorial Guinea
ERI
EST
ETH
Timor-Leste (East Timor)
FJI
FIN
FRA
MLT
MNG
MDA
MCO
MAR
GGY
MOZ
MUS
Myanmar (Burma)
NAM
NRU
NPL
NLD
New Zealand
NIC
NGA
NOR
OMN
PAK
PLW
PAN
PRY
PER
PHL
Papua New Guinea
POL
PRT
QAT
ROU
RUS
RWA
South Africa
WSM
San Marino
Sao Tome and Principe
ZWE
BRI
ENG
Not supplied
OTH
REF
SCO
WAL
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