Admission to Primary/Secondary School Appeal Form
(Please refer to the School Admission web pages at Stockton.gov.uk/schooladmissions for further information
admission appeals)
Please note that a separate appeal form must be completed for each school in which you are appealing for a place.
Please return within 28 days from the date of the letter to refuse your child a school place.
Section 1 - Child’s Details
Child’s name ............................................................................................................................................................................
Gender .......................... Male
Female
Date of birth / / (day/month/year)
Full Name of Parent(s) or Carer(s): .........................................................................................................................................
Year Group: ................................... Current School:.................................................................................................................
Address where child usually lives: ..........................................................................................................................................
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Section 2 - Your Details
Full name .................................................................................................................................................................................
Relationship to Child:................................................................................................................................................................
Address (if different from child’s address in Section 1): .........................................................................................................
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Contact telephone numbers: ...................................................................................................................................................
If you are appealing for a place in Reception or Year 7 please state the school at which an alternative place has been
offered: .........................................................................................................
Section 3 - Other adults with parental responsibility for the Child
Full name .................................................................................................................................................................................
Relationship to Child:................................................................................................................................................................
Address (if different from child’s address in Section 1): .........................................................................................................
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Contact telephone numbers: ...................................................................................................................................................
IMPORTANT - Please circle the option that is applicable to your appeal
Option A: I conrm that the person/s named in Section 3 is/are aware of this appeal. I give my consent to any information
relating to this appeal to be shared with the person/s named in Section 3
OR
Option B: I conrm that the person/s named in Section 3 is/are NOT aware of this appeal. I DO NOT give my consent to
any information relating to this application being shared with the person/s named in section 3, unless there is a legal
obligation placed upon the Local Authority to do so.
If you have circled Option B please state reasons (e.g. domestic violence; Court order) and attach copies of any
relevant supporting documentation.
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