Pupil Leaving Form

Please complete this form if your child is leaving Kingsthorpe Grove Primary School

Child's Name *

Your child's Date of Birth *

Leaving Date *

Enter Field Title *

New Home Address (If applicable) *

Contact Number *

Will the child be living with the parent/guardian at this address? If no - Please state who they will be living with *

Is this address temporary?

If the address is temporary, please state the date you will be leaving the property and provide your new address

Date leaving property

Parent/Carer Name *

Today's Date *

Submit

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Kingsthorpe Grove

Primary School

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