Clore Shalom Register of Interest 2022 - 2023

1. The information supplied will be processed in line with the school's Data Protection Policy, details can be found on the school website: http://www.cloreshalom.herts.sch.uk.

Please complete a separate form for each child *

Child's forename	*
Child's surname	*
Child's gender	*
Current school or nursery	*
Name of any siblings currently at Clore Shalom	*

2. Child's date of birth *

	DD/MM/YYYY

3. Please state which year group you are interested in for your child. *

Nursery
Reception
In Year

4. If this is an In Year enquiry, please state which year group you require

5. Permanent address of child, including post code *

Address line 1	*
Address line 2	*
Address line 3	*
Post code	*

6. Details of parent/carer making this request *

Title	*
Full name	*
Relationship to child	*
Daytime telephone number	*
Email address	*

7. Please tick to agree to receiving communications from Clore Shalom regarding future admissions events. *

Yes
No

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