Blanford Mere Primary School - Pupil Contact Information (please complete if your child's details have changed)

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Pupil Contact Information (please complete if your child's details have changed)

Please can you update the form for each child at school from Reception to Year 6.

Child Details (Mandatory*)

*Child Name:

*Year Group / Class:

*Date of Birth:

*Address:

Parent / Guardian 1 (please only complete the fields that have recently changed)

Name:

Address:

Mobile telephone number:

Email address:

Home telephone number:

Parent / Guardian 2 (please only complete the fields that have recently changed)

Name:

Address:

Email address:

Mobile telephone number:

Home telephone number:

Other Contacts (please only complete the fields that have recently changed)

Name:

Relationship to child:

Address:

Email address:

Mobile telephone number:

Home telephone number:

Other Information

Doctors Name:

Doctors Surgery Name:

Doctors Telephone Number:

Medical Conditions:

Permission to call doctor:

Permission to administer first aid:

Any other information the school may need to know:

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