Platform One Acceptance of Place Form 22/23

Family Surname Child/ren's First Name/s

Thank you for submitting your Platform One requirements for 22/23. Please confirm below your acceptance of the place/days offered and other details we require from you

Please confirm you accept the days offered to youYesNo (Please do not answer further questions)Not applicable - You are unable to offer any days i requested

If you have been advised you have not been offered a space on any day, please confirm if you are happy to be on the waiting list?Yes - Please keep my name on the waiting list for the days youve been unable to offer meNo - Please do not keep my name on the waiting list

Please confirm you have read and agree to the Platform One Committed User Agreement Terms and Conditions (found on the platform one section of our website)*Yes

Please confirm the full name of all authorised persons allowed to collect your child Please advise your Platform One 'word' which allows another person to collect your child/ren not listed above, in the event of an emergency Please type full name of Parent/Carer completing this form* Confirm date of completion of your acceptance of place form 22/23*

Thank you for completing your form.

Our Gate code to drop off /collect your child is currently 0934. Please do not share this with your child/ren or anybody other than those you have confirmed as authorised persons on your form.

Any familes on the waiting list will be contacted as soon as a space becomes available.

Orton Wistow Primary School

Platform One Acceptance of Place Form 22/23

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