Please the enter unique code, this can be found in the Transition letter that was posted to your home address.
Unique code* Student Information Surname* Forename* Other name(s) Date of birth* Gender* Male Female Year group* Parent/Carer Information Parent 1
Parent/Carer name* Home address*
Postcode* Home telephone number Mobile number* Email address* Relationship* Primary contact* Yes No Does the child live at this address?* Yes No Parental responsibility* Yes No Parent 2
Parent/Carer name Home address (if different)
Postcode Home telephone number Mobile number Email address Relationship Primary contact Yes No Does the child live at this address? Yes No Parental responsibility Yes No Legal order Is there any legal order relating to the child* Yes No If Yes please provide details
Daytime emergency contacts (if different from parent/carer) Government guidance requires that we hold information for a minimum of two emergency contacts per child on role
1.Name Relationship Telephone number 2. Name Relationship Telephone number Names of any siblings attending The Basildon Academies
Previous School Doctor's name & address*
Doctor's telephone number Medical information – including any food allergies and medication
Consent Providing Academy Privacy Notices are available on our website.
Photographs/Video I consent to my child appearing in photos and videos in Academy news articles, website and social media.* Yes No Name I consent to my child’s name* appearing in Academy news articles, including electronically *first name and first initial of surname only* Yes No Lateral Flow Testing I consent to my child participating in on site lateral flow testing* Yes No Replacement of Academy Materials I understand that it will be my responsibility for the replacement of lost or damaged exercise books or other Academy items. Yes Mobile Phone / Electronic Gadgets I give my permission for my child to have a mobile phone on their person and understand they are not permitted for use in lesson Yes Biometrics I consent to my child’s finger print being recorded to make purchases in the Academy dining hall .* Yes No Free School Meals Is your child eligible for Free School Meals?* Yes No If Yes, you will be asked to complete a Free School Meal application form and provide sufficient evidence of entitlement.
Young Carer Is your child a registered Young Carer?* Yes No Ethnic details The Department for Children, Schools & Families have asked us to request and provide them with information relating to the ethnic origin of our students. Would you please assist us by ticking the appropriate box.
Select one of the following ABAN - Bangladeshi - Bangladeshi
AIND - Indian -Indian
AOTH – Any Other Asian Background - African Asian, Kashmiri Other, Nepali, Sri Lankan (Sinhalese, Tamil, Other), Other Asian
APKN - Pakistani - Pakistani, Mirpuri Pakistani, Kashmiri Pakistani, Other Pakistani
BAFR – Black African - Black Angolan, Black Congolese, Black Ghanaian, Black Nigerian, Black Sierra Leonean, Black Somali, Black Sudanese, Other Black African
BCRB – Black Caribbean - Black Caribbean
BOTH – Any Other Black Background - Black European, Black North American, Other Black
CHNE - Chinese - Malaysian Chinese, Singaporean Chinese, Taiwanese, Hong Kong Chinese, Other Chinese
MOTH – Any Other Mixed Background - Asian and Any Other Ethnic Group, Black and Any Other Ethnic Group, Black and Chinese, Chinese and any other Ethnic Group
MOTH – Any Other Mixed Background - White and Any Other Ethnic Group, White and Chinese, Asian and Black, Asian and Chinese, Other Mixed Background
MWAS – White and Asian - White and Pakistani, White and Indian, White and Any Other Asian Background
MWBA – White and Black African - Mixed/Dual Background
MWBC – White and Black Caribbean - Mixed/Dual Background
OOTH – Any Other Ethnic Group - Afghan, Arab, Egyptian, Filipino, Iranian, Iraqi, Japanese, Korean
OOTH – Any Other Ethnic Group -Kurdish, Latin/South/Central American, Lebanese, Libyan, Malay, Moroccan, Polynesian, Thai, Vietnamese, Yemeni, Other Ethnic Group
REFU - Refused
WBRI – White British - Cornish, English, Welsh, Scottish, Other White British
WIRI – White Irish - Irish - Travellers
WIRT – Traveller of Irish Heritage -
WOTH – Any Other White Background - Albanian, Bosnian/Herzegovinian, Croatian, Greek/Greek Cypriot
WOTH – Any Other White Background - Italian, Kosovan, Portuguese, Serbian, Turkish/Turkish Cypriot, White European, White Eastern European, White Western European, White Other
WROM – Gypsy/Roma - Gypsies, Romanies,Travellers
Please tick to indicate your child’s mother tongue* Afrikaans
Aka/Twi/Asante
Albanian
Arabic
Bengali
Cantonese
Mandarin
Creole
Edo
English
Ewe
French
German
Greek
Gujarati
Hindi
Igbo
Italian
Krio
Lithuanian
Latvian
Indonesian
Ndebele
Nepali
Panjabi
Polish
Portuguese
Persian/Farsi
Romanian
Serbian
Shona
Slovenian
Slovak
Spanish
Tigrinya
Thai
Turkish
Urdu
Vietnamese
Yoruba
Other - Please specify
If other please specify Travel How will your child travel to school?* Bike
Driven by Parent/Carer
Public Transport
Taxi
Walk
Undecided
Date of entry to the UK if from overseas Submit 
