Registration Parent/Carer Details Full Name Date of Birth Address Postcode Home Telephone Number Mobile Telephone Number Email Address Your relationship to the child Gender MaleFemale Ethnic Origin Asian & WhiteAsian OtherBangladeshiBlack AfricanBlack African & WhiteBlack CaribbeanBlack Caribbean & WhiteBlack OtherChineseIndianMixed OtherOtherPakistaniWhite BritishWhite IrishWhite Other Emergency Contact Information Emergency Contact Name (required) Emergency Contact Tel No