Sixth Form Admissions Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Student's Details - Step 1 of 8Student's legal name *FirstMiddleLastName(s) known by (if different)FirstLastStudent's gender *MaleFemaleOther (please specify)Other gender *Student's date of birth *Previous school (where GCSEs were completed) *Student's home address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryStudent's mobile phone number *NextFirst parent/guardianTitle *Name *FirstLastRelationship to student *Parental responsibility Having parental responsibility means assuming all the rights, duties, powers, responsibilities and authority that a parent of a child has by law. People other than a child's natural parents can acquire parental responsibility through: being granted a residence order, being appointed a guardian, being named in an emergency protection order, or adopting a child. A local authority can acquire parental responsibility if it is named in the care order for a child. Parental responsibility? *YesNoLegal guardian? *YesNoLives with student? *YesNoEmergency contact priority? *FirstSecondHome telephone numberMobile telephone numberEmail address *Email is our primary means of communicating with parents. Please ensure you provide a current email address.Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryDo you wish to add details of a second parent/guardian? *YesNoIf you wish to add details of a third or further parents/guardians, you will have the opportunity to do so at a later date.Second parent/guardianTitle *Name *FirstLastRelationship to student *Parental responsibility Having parental responsibility means assuming all the rights, duties, powers, responsibilities and authority that a parent of a child has by law. People other than a child's natural parents can acquire parental responsibility through: being granted a residence order, being appointed a guardian, being named in an emergency protection order, or adopting a child. A local authority can acquire parental responsibility if it is named in the care order for a child. Parental responsibility? *YesNoLegal guardian? *YesNoLives with student? *YesNoEmergency contact priority? *FirstSecondHome telephone numberMobile telephone numberEmail address *Email is our primary means of communicating with parents. Please ensure you provide a current email address.Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryLiving arrangementsPreviousNextEmergency contacts Please provide details of up to two additional contacts who can be contacted in an emergency. These must be people other than the main parental contact(s) provided earlier, and for whom you give consent to collect the student from school if parents are unavailable. First emergency contactTitle *Name *FirstLastRelationship to student *Daytime telephone number *Do you wish to add details of a second emergency contact? *YesNoSecond emergency contactTitle *Name *FirstLastRelationship to student *Daytime telephone number *PreviousNextPlease give full details of any medical conditions. Any associated documentation can be sent via email to [email protected] with the full name of the student. Does the student have any medical condition of which we should be aware? *YesNo Details of medical conditions, including allergies Medical condition type2-Hydroxyglutaric aciduria2-Hydroxyglutaric aciduria3M Syndrome9p- Syndrome (Monosomy 9p, Alfi's Syndrome)Aarskog syndromeAbdominal MigraineAbdominal painAbernethy SyndromeAbnormality to hands/fingersAbsence Seizures (Petit Mal)Absent Pulmonary Valve SyndromeAchondroplasiaAchrosyanosisAcne (acne vulgaris)Acquired brain injury (ABI)AcrophobiaAcute disseminated encephalomyelitis (ADEM)Acute lymphoblastic leukaemia (ALL)Addison's disease (primary adrenal insufficiency, hypocortisolism)AdenomyosisAdrenal Crisis (Addisonian Crisis)Adrenal insufficiencyAdrenoleukodystrophyAfebrile seizuresAgenesis of the corpus callosum (ACC)Aicardi syndromeAlagille syndromeAlbinismAlbinoismAllergic conjunctivitisAllergic Reaction (unknown)Allergy to ChickenAllergy to CrispsAllergy to DeoderantAllergy to GuavaAllergy to Guinea PigsAllergy to Hand SanitiserAllergy to Head LiceAllergy to Kidney BeansAllergy to MelonAllergy with EpiPenAlmond AllergyAlopecia (Hair loss)Alpha-1 CarrierAlpha-Gal Allergy (Meat Allergy)Alpha 1-antitrypsin deficiency (A1AD)Alpha ThalassemiaAlpha Tryptasemia SyndromeAmblyopia (Lazy eye)Amelogenesis ImperfectaAmenorrheaAmniotic Band Syndrome (ABS)Amoxicillin AllergyAnaemiaAnaesthetic AllergyAnaphylactic Food AllergyAnaphylaxisAnderson-Fabry diseaseAngelman syndrome (AS)AngioedemaAngiomatoid Fibrous HistiocytomaAnisometropiaAnkle-Foot Orthosis (AFO, ankle brace)Ankle InstabilityAnkyloglossia (Tongue-tie)Anorexia nervosaAnti-thyroid antibodiesAntibiotics AllergyAntibody DisorderAntiseptic Cream Allergy (Sudocrem, Baby Lotion)Anxiety/Anxiety DisorderAortic insufficiency (Aortic regurgitation, leaky aortic valve)Aortic Stenosis (AS)Apert syndromeAphakiaAphthous stomatitis (Aphthous Ulcers)Aplasia cutis congenita (ACC)Aplastic AnaemiaApnoea (Apnea)AppendicitisApple AllergyArachnoid CystArnold-Chiari malformationArrhythmogenic right ventricular cardiomyopathy (ARVC)Arteriovenous Malformation (AVM, Weakened blood vessels)ArthritisArthrogryposis multiplex congenital (AMC, multiple joint contractures)Artificial Limb (Prosthesis)Artificial sweetener allergyAsperger SyndromeAspergillosisAspirin Sensitivity/Intolerance (Salicylate)AsthmaAstigmatismAstrocytoma (Glioma Brain Tumour)AtaxiaAtaxia-telangiectasia (A-T, Louis Bar syndrome)Atrial IsomerismAtrial Septal Defect (ASD, Hole in heart)Attachment DisorderAttention Deficit Hyperactivity Disorder (ADHD)Aubergine (Eggplant) AllergyAuditory Processing Disorder (APD)Autism/Autistic Spectrum DisorderAutistic enterocolitisAutoimmune lymphoproliferative syndrome (ALPS, Canale-Smith syndrome)Autoimmune ResponseAutoinflammatory ConditionAutonomic Dysreflexia (Hyperreflexia)Avocado AllergyAvoidant Restrictive Food Intake Disorder (ARFID)Back PainBacterial vaginosisBaked bean allergyBalance ProblemBalbar PalsyBanana AllergyBaraitser-Winter syndromeBardet–Biedl syndromeBarrett's OesophagusBartter SyndromeBatten DiseaseBBQ Sauce AllergyBeans/Peas/Lentils/Pulses/Legumes AllergyBeckwith-Wiedemann SyndromeBee/Wasp/Insect Sting AllergyBeef Allergy/IntoleranceBeetroot allergyBehavioural, Emotional and Social DifficultiesBehcet's Disease (Behcet's Syndrome)Bell's palsyBenign Paroxysmal Positional VertigoBenign Reactive Lymphadenopathy/Reactive Lymph nodesBenign rolandic epilepsy (BCECTS)Benzoyl Peroxide (Acne medication) AllergyBerry AllergyBeta ThalassemiaBeta thalassemia trait/carrierBicuspid aortic valve (BAV)Bilateral Brachial Plexus PalsyBilateral hearing loss (BHL)Bilateral Retinoblastoma (Rb)Bipolar DisorderBipolar I DisorderBipolar II disorder (BP-II)BirthmarkBlackcurrant/Ribena AllergyBladder conditionBlepharitisBlindness (Vision Loss)Blood Vessel ConditionBlueberry allergyBody dysmorphic disorder (BDD, Dysmorphia)Body temperature regulation disorderBone DefectBone diseaseBone HypertrophyBone Marrow TransplantBowel conditionBowel obstruction (intestinal obstruction)BrachydactylyBradycardia (Low Heart Rate)Brain/spinal cord cystBrain AneurysmBrain ConditionBrain Development ConditionBrain InjuryBrain TumourBranchiootorenal (BOR) SyndromeBreath-holding spells (Episodic apnea)Breathing difficultiesBroccoli intoleranceBroken BoneBronchiectasisBronchiolitisBronchitisBroncholithiasisBronchomalaciaBronchospasmBrown's syndromeBrugada Syndrome (BrS)Brussels Sprouts AllergyBulimia nervosaBurnsBörjeson-Forssman-Lehmann syndrome (BFLS)Caffeine AllergyCalpol AllergyCancerCarbonated Drink AllergyCardiac arrhythmia (Irregular heartbeat, heart rhythm disorders)Cardiofaciocutaneous SyndromeCardiomyopathyCarmine Allergy (Red Dye Allergy)Carnitine palmitoyltransferase II deficiency (CPT-II, CPT2)Carrot allergyCataplexyCataractCaudal regression syndrome, (sacral agenesis, hypoplasia of the sacrum)Cavernous hemangioma (Cavernoma of the brain/spinal cord)CellulitisCephalexin AllergyCephalosporin AllergyCerebellitisCerebral edema/oedemaCerebral PalsyCerebral salt-wasting syndromeCerebral Venous Sinus Thrombosis (CVST)Cerebrocostomandibular SyndromeCervical Intraepithelial NeoplasiaCervical Kyphosis (Military/straight neck)ChannelopathyCharcot–Marie–Tooth disease (CMT)CHARGE syndromeCheese AllergyChemical AllergyCherry AllergyChest/Lung ConditionChest infectionChicken/Turkey/Poultry AllergyChicken PoxChickpea AllergyChilblainsChloramphenicol Antibiotic AllergyChlorine AllergyChlorphenamine Allergy (Allergic to Piriton)Chocolate AllergyChondromalacia patellae (CMP)Chromosome 2q37 deletion syndromeChromosome 6 AbnormalityChromosome 9p deletion syndromeChromosome 9p duplicationChromosome 12q deletionChromosome 14, Trisomy MosaicChromosome 17 trisomyChromosome 19p13.2 microdeletionChromosome 22 TrisomyChromosome abnormality (anomaly, aberration, or mutation)Chromosome Deletion No.9Chronic ConstipationChronic Elbow Instability (Recurrent dislocations)Chronic Fatigue Syndrome (CFS, ME, PVFS)Chronic granulomatous disease (CGD)Chronic idiopathic constipationChronic Inflammatory Demyelinating Polyneuropathy (CIDP)Chronic Kidney Disease (CKD, Chronic Renal Failure)Chronic Lung Disease (CLD)Chronic Motor Tic DisorderChronic obstructive pulmonary disease (COPD)Chronic painChronic pulmonary aspiration (CPA)Cibophobia (Food phobia)Circulation condition/issuesCitrullinemiaCitrus Allergy (Fruit and Juice)ClaustrophobiaCleft Lip (CL)Cleft Palate (CP)Cleidocranial dysostosis (CCD, cleidocranial dysplasia)Clinical ObesityCloacal anomaliesClub Foot/Positional Talipes (PTEV)Club Foot/Structural Talipes (CTEV)Cobalamin F DefectCochlear Implantation after Kidney TransplantationCochlear Implant due to DeafnessCockayne Syndrome (CS)Cocoa AllergyCoconut AllergyCoeliac Disease (Gluten Free)Coffin–Lowry syndromeCoffin–Siris syndromeCohen syndrome (Pepper syndrome)Cold SoresColitisCollapsed LungColobomaColon ConditionColostomy Bag FittedColour BlindnessComorbid Disorders/DiseasesCompartment SyndromeConduct disorder (CD)Conductive Hearing LossCongenital adrenal hyperplasia (CAH)Congenital CataractCongenital DefectCongenital Diaphragmatic HerniaCongenital Heart Disease/DefectCongenital hepatic fibrosis (CHF)Congenital Hip Dislocation (Dysplasia)Congenital HypoplasiaCongenital melanocytic nevusCongenital myasthenic syndrome (CMS)Congenital NeutropeniaCongenital toxoplasmosisConjunctivitisCorn AllergyCornelia de Lange Syndrome (CdLS)Coronary Artery FistulaCoronavirus - COVID-19 (confirmed)Coronavirus - COVID-19 (symptoms)Corpus Callosum DysgenesisCostochondritis (Chest wall pain)CoulrophobiaCourgette Allergy (Zucchini allergy)Cow's Milk Allergy (CMA)Cowden syndromeCradle capCraniosynostosisCrepitusCri-du-chat (cat's cry) syndrome (5p- syndrome)Crohn's Disease (Regional Enteritis)Croup (Laryngotracheobronchitis)Curry AllergyCutis LaxaCutis Marmorata (CMTC)CyanosisCyclical Vomiting Syndrome (CVS)CyclothymiaCystic FibrosisCystic hygromaCytochrome C Oxidase DeficiencyCytomegalovirus (CMV) InfectionDairy AllergyDandy-Walker Syndrome (DWS)DeafDeep Heat AllergyDeep vein thrombosis (DVT)Deficits in attention, motor control and perception (DAMP)Degenerative diseaseDe Grouchy SyndromeDelayed SwallowingDental condition (Tooth pathology)Dentinogenesis imperfectaDepressionDermoid CystDetrusor InstabilityDevelopmental DelayDextrocardiaDiabetesDiamond Blackfan Anemia (DBA)Diarrhea conditionDiGeorge syndrome (22q11.2 deletion syndrome)Digestive DisorderDilated cardiomyopathy (DCM)DiplegiaDisabled HandDisciform keratitisDisorder of Sexual DevelopmentDisruptive Behaviour DisorderDizzinessDonnai-Barrow SyndromeDouble incontinence (DI)Down SyndromeDravet syndrome (Severe Myoclonic Epilepsy of Infancy, SMEI)DroolingDuane syndromeDubin–Johnson syndrome (DJS)Duchenne muscular dystrophy (DMD)DuodenitisDuplex KidneysDust Mite AllergyDysautonomia (autonomic dysfunction)DyscalculiaDysfibrinogenemiaDysgraphiaDyslexiaDysphagia (Swallowing Problems)Dysphasia (Communications Difficulties)Dysplasia (Developmental disorder)Dyspraxia (Developmental Coordination Disorder)Dystonia (Muscle disorder)Ear conditionEar InfectionEating ProblemEctopic Atrial TachycardiaEczema/DermatitisEdema (oedema)Edwards syndrome (trisomy 18)Egg AllergyEhlers–Danlos syndrome (EDS)Elevated gonadotropinsEmetophobia (vomiting fear)Emotional Detachment DisorderEncephalitisEncephalopathyEncopresisEndocrine System DisorderEndometriosisEnlarged adenoids (Adenoid hypertrophy)ENT (Ear Nose Throat) ProblemsEnterovirus MyocarditisEnuresis/Urinary Incontinence (Weak Bladder)Environmental AllergiesEnzyme DeficiencyEosinophilic ColitisEosinophilic gastroenteritis (EG)Eosinophilic OesophagitisEpidermolysis bullosa simplex (EBS)EpilepsyEpileptic spasms (West syndrome, infantile spasms)Epstein-Barr Virus (EBV)Erb's_palsy (Erb–Duchenne palsy)Erythema Nodosum (EN)Erythromycin AllergyExocrine pancreatic insufficiency (EPI)ExomphalosExophoriaExophthalmos (exophthalmus, exophthalmia, proptosis, exorbitism)ExostosesExotropia (Divergent Squint)Eye ConditionFace Paint AllergyFacial ConditionFacial PalsyFactor V deficiency (Owren's disease, parahemophilia)Factor VII deficiencyFactor V LeidenFactor X DeficiencyFactor XII deficiency (Hageman factor deficiency)Factor XIII deficiency (Fibrin stabilizing factor deficiency)FaintingFaints at sight / mention of bloodFamilial exudative vitreoretinopathy (FEVR)Familial hypercholesterolemia (FH)Familial Mediterranean FeverFanconi anaemia (FA)Fanconi SyndromeFat IntoleranceFavism (G6PD deficiency, Glucose-6-phosphate dehydrogenase deficiency)Feathers AllergyFebrile Seizures/ConvulsionsFecal ImpactionFemoral Anteversion (Pigeon Toe)Fetal alcohol syndrome (FAS)Fetal Valproate SyndromeFibrodysplasia ossificans progressiva (FOP)FibromyalgiaFish AllergyFissureFlat feet (Dropped/Fallen Arches, Plano-valgus foot)Foetal Anticonvulsant Syndrome (FACS)Folate DeficiencyFollicular hyperplasiaFood Allergy or IntoleranceFood Colouring AllergyFood Preservative AllergyFoot Development ProblemsFowler's SyndromeFoxG1 SyndromeFragile X syndrome (FXS)Fragrance/Perfume SensitivityFrey's syndromeFructose malabsorption (dietary fructose intolerance)Fruit AllergyFucosidosisFudge allergyFundoplication in placeGag Reflex ConditionGallstones (Cholelithiasis)GanglioneuroblastomaGarlic AllergyGastric BalloonGastritisGastroesophageal Reflux (Gastric Reflux, GERD)Gastrointestinal DisorderGastrostomyGelatin AllergyGeneral blood disorderGeneral InfectionGeneral Skin AllergyGenetic DisorderGenital WartsGenu recurvatum (Knee hyperextension)Geographic tongue (benign migratory glossitis, erythema migrans lingualis)Gilbert's Syndrome (Liver Disorder)Glandular Fever (Infectious mononucleosis)Glanzmann's ThrombastheniaGlaucomaGlenoid hypoplasiaGlomerulosclerosis (Renal/Kidney Scarring)Glucose-Galactose MalabsorptionGlue/Adhesive AllergyGlue Ear (Otitis Media)GLUT1 deficiency syndrome (Glucose transporter type 1 deficiency)Glutaric aciduria type 1 (GA1)Gluten IntoleranceGlycerol Kinase Deficiency (GKD)Glycogen Storage Disease (GSD)Glycogen storage disease type IX (GSD IX)Goldenhar syndrome (Oculo-Auriculo-Vertebral (OAV) syndromeGomez Lopez SyndromeGordon SyndromeGorlin SyndromeGranuloma annulareGrape allergyGrapefruit/grapefruit juice allergyGrass AllergyGrass pollen allergyGraves' Disease (Toxic diffuse goiter)Grommets in earGross HematuriaGrowing pains (recurrent limb pain)Growth hormone deficiency (GHD)Growth Hormone TherapyGrowth problems/growth disorderGuanidinoacetate methyltransferase (GAMT) deficiencyGuillain–Barré syndrome (GBS)Guttate PsoriasisGynaecological ConditionGynaecomastiaHaemangiomasHaemoglobin D carrierHaemoglobin E CarrierHaemophiliaHair Dye or Henna Allergy (PPD Allergy)Hair Pulling Disorder (Trichotillomania, TTM)HallucinationsHameodialysis Catheter (Haemocath)Hand or Elbow ConditionHayfeverHb Köln (Blood Disorder)HeadachesHead Injury (Cannot do contact sports)Hearing LossHearing ProblemHeart BlockHeartburn (Pyrosis)Heart conditionHeart MurmurHeart PalpitationsHeat AllergyHemihypertrophy (Hemihyperplasia)HemimegalencephalyHemiparesis (weakness on one side of body)HemiplegiaHemiplegic migrainesHemoglobin H DiseaseHenoch–Schönlein Purpura (HSP, Anaphylactoid Purpura)HepatitisHepatitis BHereditary Angioedema (HAE)Hereditary motor and sensory neuropathy (HMSN)Hereditary motor and sensory neuropathy type 1A (HMSN 1A)Hereditary multiple exostoses (HME, MHE, diaphyseal aclasis)Hereditary neuropathy with pressure palsiesHereditary spastic paraplegia (HSP)HerniaHerpes virusHeterochromiaHickman LineHigh Muscle ToneHigh pain thresholdHip Dislocation (Dysplasia)Hip problemHirschsprung's disease (HD)Hirschsprung-associated enterocolitis (HAEC)Hodgkin LymphomaHollyhock AllergyHoloprosencephalyHolt-Oram SyndromeHomocystinuria (CBS deficiency)Honey and Honeycomb AllergyHormone InjectionsHorner's syndrome (Bernard-Horner syndrome)Hunter syndrome (mucopolysaccharidosis type II, MPS II)Hurler syndrome (mucopolysaccharidosis type IH, MPS IH)Hurler–Scheie syndrome (mucopolysaccharidosis type I H-S)Hutchinson-Gilford ProgeriaHyaluronidase deficiency (mucopolysaccharidosis type IX, MPS IX)Hydrocephalus (Water On The Brain)HydromyeliaHyperacusisHypercholesterolemia (High Cholesterol)Hyperglycaemia (High Blood-Sugar Level)Hyperhidrosis (Excessive sweating)HyperinsulinismHypermyelinationHyperplasiaHypersalivationHypersensitivityHypertension (High blood pressure)Hyperthyroidism (Overactive Thyroid)HypertoniaHypertrophic cardiomyopathy (HCM)Hypocalcemia (Low Calcium)HypodontiaHypoglycaemia (Low Blood-Sugar Level)Hypoparathyroidism (HypoPARA)HypopituitarismHypoplastic left heart syndrome (HLHS)HypospadiasHypotension (Low Blood Pressure)Hypothyroidism (Underactive thyroid)Ibuprofen allergyIchthyosis (Skin Disorder)Idiopathic allergyIdiopathic intracranial hypertensionIdiopathic thrombocytopenic purpura (ITP)IgA Nephropathy (Berger's Disease)Immune system disorderImmunodeficiency (Immune Deficiency)ImmunosuppressionImpetigoImpulsive AggressionIn-toe walking (Gait, turned-in feet)Inappropriate sinus tachycardia (IST)Incontinentia Pigmenti - Genetic DisorderIndeterminate Colitis (IC)Inflammatory Bowel Disease (IBD)Inhaler (as and when required)Injury to Body, Arms and Legs (Temporary or Permanent)InsomniaInsulin InjectionInternal Organ ConditionIntestinal AtresiaIntestinal malrotationIntussusceptionInvasive Group A Streptococcal DiseaseInvoluntary UrinationIron DeficiencyIrritable Bowel Syndrome (IBS)Irritable HipIschemic cardiomyopathyIschiopubic synchondrosis asymmetryJacobsen Syndrome (11q / 11q24 deletion)JaundiceJob syndrome (AD-HIES, Autosomal dominant hyper-IgE syndrome)Joint disorderJoint HypermobilityJoint HypomobilityJoubert SyndromeJuvenile AlexandersJuvenile dermatomyositis (JDM)Juvenile idiopathic arthritisJuvenile Plantar DermatosisKabuki syndrome (KBS)Kallmann SyndromeKawasaki DiseaseKBG SyndromeKeratitis (Inflammation of the cornea)Keratosis pilaris (KP, follicular keratosis, lichen pilaris, "chicken skin")Ketotic hypoglycemiaKidney (Renal) ProblemsKidney StoneKidney TransplantKiwi AllergyKlinefelter syndrome (KS, 47,XXY)Klippel–Feil syndrome (KFS, Cervical vertebral fusion)Klippel–Trénaunay–Weber syndrome (KTS)Knee Cartilage DamageKnee InflammationKnee ProblemKniest dysplasia (Swiss Cheese Cartilage Syndrome, Metatrophic Dwarfism Type I)Kyphosis (Hunchback)Köhler diseaseLactose intolerance (Dairy intolerance)Lanolin (Wool) AllergyLarsen Syndrome (LS)Laryngo-tracheo-oessophageal cleftLaryngomalacia (soft larynx)Latent Coeliac DiseaseLatex Allergy (Allergy to Plasters)Laurence–Moon syndrome (LMS)Lavender AllergyLazy Bowel SyndromeLCHAD deficiency (Long-chain 3-hydroxyacyl-coenzyme A dehydrogenase deficiency)Leaky Gut SyndromeLearning DifficultiesLeft HemiplegiaLegs and Foot ProblemsLeigh syndromeLemierre's syndrome (Lemierre's disease)Lemon/lemon juice allergyLennox-Gastaut syndrome (LGS)LeukaemiaLeukodystrophyLeukomalaciaLicorice AllergyLigamentous laxity (weak ligaments)Limb AmputationLimited movement in limbLinear IgA DermatosisLissencephalyLiver conditionLong QT syndrome (LQTS)Loss of appetiteLoss of sense of smell (Anosmia)Low Energy LevelsLow MoodLow Muscle Tone (Hypotonia)Low Platelet Count (Thrombocytopenia)Lumbar LordosisLumbar puncture (LP, Spinal Tap)Lumbar SpondylitisLung ConditionLung malformationLupus PernioLuxating patella (Floating knee-caps)LymphangiomaLymphatic MalformationsLymph Node ConditionLymphoedemaMacrocephalyMaculopapular rashMalignant hyperthermia (MH) or malignant hyperpyrexiaMalignant Hyperthermia under AnaesthesiaMango AllergyMaple Syrup Urine DiseaseMarcus Gunn Jaw-winking SyndromeMarfan SyndromeMaroteaux–Lamy syndrome (mucopolysaccharidosis type VI, MPS VI)Marzipan AllergyMast Cell DegranulationMastocytomaMayonnaise allergyMCADD deficiency (Medium-chain acyl-CoA dehydrogenase deficiency)MCR4 DeficiencyMeckel's diverticulumMED13L haploinsufficiency syndromeMedical Wipe AllergyMedication (see notes)Medication AllergyMedium Chain acyl CoA Dehydrogenase DeficiencyMedulloblastoma (Brain Tumour)Memory ProblemsMeningitisMenorrhagiaMenstrual conditionMental Health Issues (Mental illness, psychological disorder)Mesenteric adenitisMetabolic Bone DiseaseMetabolic DisorderMetal AllergyMetatarsus Adductus (Metatarsus Varus)MicrocephalyMicrognathiaMicrophthalmiaMicrotiaMigraines/HeadachesMigraine with AuraMiliaria (Heat rash, Sweat rash)Milk AllergyMilk Protein IntoleranceMiller–Dieker syndrome (MDS)Mint AllergyMitochondrial Complex 1 Deficiency DiseaseMitochondrial CytopathyMitral valve prolapse (MVP)Mobility ConditionMolluscum contagiosum (MC)Mongolian spot (Mongolian blue spot)Monocular visionMonosodium Glutamate (MSG) AllergyMood SwingsMorbid ObesityMorning glory disc anomaly (MGDA)Morphea (localized scleroderma)Morquio syndrome (mucopolysaccharidosis IV, MPS IV)Mosaic Turner syndrome (TS with mosaicism)Mosquito/Insect Bite AllergyMotor Disorders and StereotypiesMowat-Wilson syndrome (MWS)Moyamoya diseaseMucoceleMucopolysaccharidosis type I (MPS I)Mud AllergyMuenke SyndromeMulticystic dysplastic kidney (MCDK)Multiple endocrine neoplasia (MEN)Multiple endocrine neoplasia type 1 (MEN1, Wermer syndrome)Multiple endocrine neoplasia type 2 (MEN2)Multiple endocrine neoplasia type 2A (MEN 2A, Sipple syndrome)Multiple endocrine neoplasia type 2B (MEN 2B, Wagenmann–Froboese syndrome)Multiple epiphyseal dysplasia (MED, Fairbank's disease)Multiple Pituitary Hormone Deficiency (MPHD)Multiple SclerosisMumpsMuscle atrophyMuscle Problem/DisorderMuscle SpasmsMuscular Dystrophy (MD)Musculoskeletal disorderMushroom AllergyMustard AllergyMyasthenia gravis (MG, muscle fatigue)Myoclonic epilepsyMyopathyMyopia (Short-sightedness)Myotonic dystrophyMyotubular MyopathyMöbius syndrome (Moebius)Nail–patella syndrome (NPS, No Kneecaps)NarcolepsyNasal Septum DeviationNasogastric feeding tubeNausea/SicknessNeck ProblemNemaline MyopathyNeonatal Abstinence SyndromeNephrectomy (Kidney Removal)Nephritis (Inflammation of the kidneys)Nephrotic syndromeNervous System DisorderNeuralgiaNeuroblastoma (NB)NeurofibromatosisNeurofibromatosis type I (NF-1)Neurofibromatosis type II (NF-2)Neurogenic bladder/bowelNeurological Condition/DisorderNeuromuscular ConditionNeuronal ceroid lipofuscinoses (NCL)Neuropathic Bladder/BowelNeuropathyNeutropeniaNissen fundoplicationNo Blood TransfusionsNo immunisations/vaccinations givenNon-Hodgkin LymphomaNon epileptic attack disorder (NEAD)Noonan SyndromeNo oxygen therapyNosebleeds (Epistaxis)Nose Disorder/InjuryNut Allergy (Tree Nut Allergy)Nutmeg AllergyNylon AllergyNystagmusOat IntoleranceObsessive Compulsive DisorderOccasional Rigors/ShiversOculocutaneous albinism (OCA)Oculofaciocardiodental SyndromeOculomotor ApraxiaOesophageal atresiaOesophageal Motility DisorderOhdo Blepharophimosis syndromeOil Pastel AllergyOllier diseaseOmenn syndromeOnion AllergyOPHN1 mutationOppositional Defiant DisorderOptic Nerve GliomaOptic nerve hypoplasia (ONH)Oral/Tongue/Mouth ConditionOral Allergy SyndromeOral AversionOral Crohn's DiseaseOral DyspraxiaOrange/orange juice allergyOrbital CellulitisOrchidopexyOrofacial GranulomatosisOrthodonticsOrthostatic hypotension (Postural hypotension)Orthotic InsolesOsgood-Schlatter DiseaseOsgood–Schlatter disease (OSD)OsteochondromasOsteodystrophyOsteogenesis imperfecta (Brittle Bones)Osteomyelitis (OM)OsteoporosisOtherOther AllergyOther Transmissible DiseaseOvarian CystPacemaker fitted (Heart Condition)Pain Left ElbowPallister–Killian syndromePancreatitisPanic AttacksPapilledemaPaprika allergyParaben AllergyParacetamol AllergyParalysisParanoiaParis-Trousseau syndrome (PTS)Paroxysmal dystoniaParoxysmal kinesigenic choreathetosis/dyskinesia (PKC, PKD)Paroxysmal Kinesigenic Dyskinesia (PKD)Partially sighted (vision impaired)Passion Fruit AllergyPatellar dislocation (Dislocated kneecap)Patent Ductus Arteriosus (PDA)Pathological demand avoidance (PDA, Newson's syndrome)Pea AllergyPeach AllergyPeanut AllergyPeanut oil allergyPectus excavatum (Funnel chest)Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS)Pelizaeus–Merzbacher Disease (PMD)Pelvic radiation diseasePendred SyndromePenicillin AllergyPercutaneous endoscopic gastrostomy (PEG) feeding tubePerforated eardrumPeri-oral reactionsPeriod Pain (Dysmenorrhoea)Peripheral Venous CatheterPeriventricular HeterotopiaPeriventricular leukomalacia (PVL)Pernicious anemia (Vitamin B12 deficiency anemia)Perthes Disease (Hip)Pervasive Refusal SyndromePet/Dog/Cat/Fur AllergyPetroleum Jelly/Paraffin Wax AllergyPeutz Jeghers Syndrome (PJS)PFAPA Syndrome (Periodic Fever, Aphthous Stomatitis, Pharyngitis, Adenitis)Pfeiffer syndromePhenylketonuria (PKU)Phobia/FearPhocomeliaPhotophobia (Light sensitivity)Photosensitive EpilepsyPhysical DisabilityPicaPierre Robin syndromePineapple AllergyPitt Hopkins SyndromePituitary AbnormalityPityriasis lichenoides (PL)Plagiocephaly (Flat head syndrome)Plant AllergyPlantar fasciitis (Jogger's heel)Plaster AllergyPlexiform neurofibromaPlum AllergyPneumoniaPoland SyndromePolyarthritisPolycystic kidney disease (PCKD)Polycystic ovary syndrome (PCOS)Polycythemia VeraPolydipsiaPolymicrogyria (PMG)Polymorphous light eruption (PLE, polymorphic light eruption)PolyspleniaPopcorn allergyPork AllergyPorphyriaPost-op Achilles Tendon RepairPost-traumatic stress disorderPost Brain TumourPost MeningitisPostural orthostatic tachycardia syndrome (POTS)Potocki-Lupski syndrome (PTLS)Prader-Willi syndrome (PWS)Pragmatic language impairment (PLI)/Social communication disorder (SCD)Prawn AllergyPrecocious Puberty (Early puberty)PregnancyPremature adrenarchePremature BabyPriapismPrimary ciliary dyskinesia (PCD)Primary Immune ThrombocytopeniaPrimordial DwarfismPrimrose SyndromeProctalgia FugaxProgressive supranuclear palsy (PSP)Protein allergyProteus SyndromePrune belly syndromePsoriasisPsychosisPtosis (Drooping eyelid)Pulled Elbow (Nursemaid's elbow, Radial head subluxation)Pulmonary AtresiaPulmonary HaemosiderosisPulmonary Vessel under chest bonePulmonic stenosis (Pulmonary valve stenosis)Punctate epithelial erosions (punctate erosive keratopathy, superficial punctate keratitis)Pyloric stenosisPyruvate dehydrogenase deficiency (PDCD)Quorn AllergyRadioulnar synostosisRaisin AllegyRasmussen's encephalitis (chronic focal encephalitis, CFE)Raspberry AllergyRaynaud's DiseaseReactive airway disease (RAD)Received First AidRectus DivaricationReduced Lung VolumeReflex Anoxic SeizuresReflex sympathetic dystrophy (RSD, CRPS, Complex regional pain syndrome)Renal agenesis (Only one kidney)Renal ConditionRenal pelvis dilatation (hydronephrosis)Requires VentilatorRespiratory Disease (Respiratory condition)Restless Leg SyndromeRestrictive cardiomyopathy (RCM)Retinitis PigmentosaRetinoblastoma (Rb)RetinopathyRett syndrome (RTT)Rheumatic heart disease (RHD)Rheumatoid Arthritis (RA)RhinitisRhizomeliaRhombencephalosynapsisRice AllergyRicketsRight Bundle Branch Block (RBBB)Right HemiplegiaRisk of chokingRubinstein–Taybi syndrome (RTS, broad thumb-hallux syndrome)Sagittal SynostosisSalami Allergy (Pepperoni Allergy)Salivary gland stones (Sialolithiasis)Salmon AllergySalt IntoleranceSand allergySandifer SyndromeSanfilippo syndrome (MPS-III)Scanned DataScarlet feverScheie syndrome (mucopolysaccharidosis I-S, MPS I-S)Scheuermann's diseaseScimitar syndromeSclerodermaScoliosisScotopic sensitivity syndrome (SSS, Irlen syndrome)Seafood AllergySeasonal Affective DisorderSeizures (Fits)Selective immunoglobulin A (IgA) deficiency (SIgAD)Selective mutism (SM, Elective mutism)Self HarmsSensitive SkinSensory Based Motor DisorderSensory Discrimination DisorderSensory Processing Disorder (SPD)Septo-optic dysplasia (SOD, de Morsier syndrome)Sesame AllergySever's Disease (Calcaneal apophysitis)Severe Factor V11 deficiencySevere Primary IGF-1 DeficiencyShellfish AllergyShinglesShort bowel syndrome (SBS, short gut)Shoulder Condition/InjuryShprintzen SyndromeShuntSickle Cell Anaemia (HbSS)Sickle Cell DiseaseSickle cell trait (Sicklemia)Side Effects of Regular MedicationSilent AspirationSilver–Russell dwarfism (Russell–Silver syndrome, RSS, SRS)Simpson–Golabi–Behmel Syndrome (SGBS, Bulldog Syndrome)Sinoatrial NodeSinusitisSitus InversusSkeletal Dysplasia (Dwarfism)Skin ConditionSkin CystSkin rashSkull ConditionSleep apneaSleeping DisorderSlipped disc (Spinal disc herniation)Sly syndrome (mucopolysaccharidosis type VII, MPS 7)Small intestine bacterial overgrowth (SIBO, SBBOS)Smith–Lemli–Opitz syndromeSmith–Magenis Syndrome (SMS)Soap AllergySoft Spot on Head (Fontanelle)Solitary KidneySotos syndromeSoy AllergySpastic quadriplegia (Spastic tetraplegia)Speech & LanguageSpeech TherapySpherocytosisSpina bifidaSpinal Injury/Disorder (Back problems)Spinal muscular atrophy (SMA)Spleen problemSplenomegaly (Enlarged spleen)SprainStammeringStaph skin infection (staphylococcus infection)Stargardt disease (Visual impairment)Stickler syndromeStinging Nettle AllergyStomaStomach MigrainesStomach ulcer (Peptic ulcer disease, PUD)Strabismus (Squint)Strawberry AllergyStress cardiomyopathy (Takotsubo cardiomyopathy)StrokeStruggles with Physical ActivitySturge-Weber syndrome (SWS)Subglotic StenosisSuboptimal Cortisol ResponseSucrose intolerance (sucrase-isomaltase deficiency, CSID, GSID)Sudden shock syndromeSulphite/Sulfite sensitivitySun Allergy (Photosensitivity)Sunscreen allergy (sun cream allergy)Supraventricular tachycardia (SVT)SurgerySusceptible to fracturesSwede AllergySweet Potato AllergySydenham's ChoreaSymbrachydactylySymphysis pubis dysfunction (SPD)Syndactyly (Webbed Fingers or Toes)Syntheic Fabric / Textiles / Polyester AllergyTall statureTardive DyskinesiaT Cell DeficiencyTear Duct ProblemsTendonitisTesticular ConditionTesticular regression syndrome/vanishing testes (TRS)Testicular TorsionTetanusTetralogy of Fallot (TOF)Tetrasomy 9pThin Basement Membrane DiseaseThroat ConditionThyroid ConditionTic DisorderTietze syndrome (chondropathia tuberosa)Tight tendonsTinnitusToddler's diarrhoeaToe WalkingToileting problemTomato AllergyTomato Ketchup AllergyTonsillitisTooth Enamel ErosionTopical Anaesthetic AllergyTorticollis (Wry Neck, Loxia)Tourette's SyndromeTracheal compressionTracheobronchomalacia (TBM)Tracheoesophageal fistula (TEF, TOF)TracheomalaciaTracheostomyTranscobalamin II DeficiencyTransplantTravel SicknessTreacher Collins Syndrome (TCS)TremorsTricho Rhino Phalangeal SyndromeTrichothiodystrophy (TTD)Trigger finger/trigger thumbTrimethoprim AllergyTrimethylaminuria (TMAU, fish odour syndrome)Trismus (Lockjaw)TuberculosisTuberous sclerosis (TSC)TumourTurner syndrome (TS)Ulcerative colitis (UC)Under InvestigationUndiagnosed ConditionUndifferentiated connective tissue disease (UCTD)Upper lip tieUrethral ProlapseUrethritisUrinary catheterUrinary Tract Infection (Bladder Infection)Urticaria (hives)Uveitis (Iridocyclitis)VACTERL associationValvular Heart DiseaseVaricesVasculitis (Inflammation of blood vessels)Vasomotor InstabilityVasovagal response (Vasovagal Syncope)Velocardiofacial syndrome (VCFS)Ventricular septal defect (VSD, Hole in heart)Ventricular Tachycardia (VT)VentriculomegalyVernal keratoconjunctivitis (VKC, spring catarrh)VertigoVesicoureteral Reflux (Kidney Reflux)Viral induced wheezeVision ProblemVitamin C DeficiencyVitamin D DeficiencyVitiligoVocal cord paresisVolvulus (Twisted Bowel)Von Hippel-Lindau SyndromeVon Willebrand disease (VWDVon Willebrand disease (VWD) Type 1Wears an EyepatchWears contact lensesWears GlassesWears Hearing AidsWeight problemsWet wipe allergyWheat AllergyWheelchair UserWhite Matter DiseaseWhooping cough (Pertussis)Williams syndrome (WS)Wilson's DiseaseWolff–Parkinson–White syndrome (WPW)Wolfram SyndromeWolf–Hirschhorn syndrome (WHS)Wolmans DiseaseWorster-Drought syndrome (WDS)X-linked adrenal hypoplasia congenitaX-linked Retinoschisis (XLRS)XYY syndromeYeast AllergyYoghurt AllergySeverityMildModerateSevereTreatment (if any) Add another medical condition Remove this medical condition Does the student have any special dietary requirements? *YesNo Details of dietary requirements Dietary requirementAllergy to GuavaAllergy to GuavaAlmond Milk OnlyAvoid AdditivesCasein FreeChicken/Pork/Fish Only (Buddhist)Chopped FoodDairy Free (No Milk/Yoghurt/Cheese/Butter)Diabetic (Low Sugar)Dry FoodFinely Chopped FoodFood AllergyFood AversionFull Fat Milk OnlyG6PD Deficiency DietGastrostomyGluten Free/Coeliac (No Wheat, Barley & Rye)HalalHigh CarbohydrateHigh Fat DietHigh FibreIntollerance to Thai FoodKetogenic DietKosherLactose Free (No Milk/Yoghurt/Cheese)Latex-Fruit Syndrome (No Strawberry, Banana, Pineapple, Kiwi)Lavender AllergyLiquidised/Soft FoodLow CarbohydrateLow DairyLow Fat DietLow FibreLow Fructose DietLow Potassium DietLow ProteinLow Sodium/SaltLow sugar dietMay Eat EggsMay eat fishMinced Foods OnlyMiniONE Button (feeding tube)Moist FoodNeeds regular drinks of waterNil by MouthNo Acidic FruitsNo AdditivesNo AlmondsNo Animal FatsNo Apple JuiceNo ApplesNo ApricotsNo Artificial Colouring/Food DyesNo artificial sweetenersNo Aspartame (Sweetener)No Aubergine/EggplantNo AvocadoNo BaconNo BananaNo BarleyNo BasilNo BBQ CrispsNo BBQ SauceNo BeansNo BeansproutNo Beef ProductsNo beetrootNo BerriesNo Bio YogurtNo BiscuitsNo BlackberriesNo BlackcurrantNo Black PepperNo Black PuddingNo BlueberriesNo Brazil NutsNo BreadNo Broad BeansNo BroccoliNo Brussels SproutsNo burgerNo ButterNo Butternut SquashNo cabbageNo CaffeineNo CakeNo Calcium PropionateNo Canned TomatoesNo Carbonated DrinksNo CarrotsNo Cartons of DrinksNo Cashew NutsNo CauliflowerNo CeleriacNo CeleryNo CerealNo CheeseNo CherriesNo ChestnutsNo ChickenNo ChickpeasNo Chili PepperNo Chili PowderNo ChivesNo ChocolateNo CinnamonNo Citric FoodsNo Citrus FruitsNo CoconutNo Cold/Frozen FoodNo CornNo Corn/Tortilla ChipsNo CornstarchNo Cottage CheeseNo CourgetteNo Cows MilkNo CreamNo CrispsNo CrustaceansNo CucumberNo CurryNo CustardNo Dessert/PuddingNo Dried FruitNo DuckNo EggsNo Egg YolkNo FigsNo FishNo Fish Except TunaNo Fish SauceNo FlourNo FluidsNo French FriesNo Fried FoodNo Fructose/Fructose IntolerantNo FruitNo Fruit FlavouringsNo Fruit JuiceNo Fruit SkinNo full fat milkNo GarlicNo GelatinNo Genetically Modified FoodNo GingerNo Goat's Milk (or produce)No GrapefruitNo GrapesNo GravyNo Green TeaNo Green VegetablesNo HalalNo HamNo HazelnutsNo HerbsNo HoneyNo Hot SaucesNo Hummus/HoumousNo Ice CreamNo Ice Lollies/PopsNo JackfruitNo jamNo JasmineNo KetchupNo KiwiNo LambNo LeeksNo Lemon/Lemon JuiceNo Lemon JuiceNo LentilsNo Lime JuiceNo Lupins (No Lupin Flour)No Macaroni CheeseNo MackerelNo MangoNo MargarineNo MarmiteNo MarshmallowsNo MayonnaiseNo MeatNo Meat and Milk/Cheese TogetherNo meat on ThursdayNo Meat or Fish on FridaysNo MelonNo MilkNo MinceNo mintNo MolluscsNo Monosodium Glutamate (MSG)No MushroomsNo MustardNo NectarineNo Nightshade Foods (No Tomato, Potato, Capsicum, Aubergine)No NoodlesNo NutmegNo NutsNo OatsNo Olive OilNo OlivesNo OnionNo OrangeNo orange juiceNo PapayaNo ParsnipsNo Passion FruitNo PastaNo PastryNo PeachNo PeanutsNo PearNo PeasNo Pecan NutsNo PeppermintNo PeppersNo PineappleNo Pistachio NutsNo pizzaNo PlumsNo PomegranateNo Pork Products (Incl. gelatine)No Potato ChipsNo PotatoesNo Prawn Cocktail CrispsNo PrawnsNo PreservativesNo Processed FoodNo Processed MeatNo Products From Animal BloodNo Pulses (Beans, Lentils, Peas, Chickpeas)No PumpkinNo Quail EggsNo QuornNo RadishNo RaisinsNo Rapeseed OilNo RaspberriesNo Raw/Unpasteurized MilkNo Raw EggNo Raw VegetablesNo Red Food ColouringNo Red Fruit or VegetablesNo Red MeatNo Refined SugarNo RhubarbNo RiceNo rice puddingNo RyeNo Sage and OnionNo Salad CreamNo Salami/PepperoniNo SalmonNo SardinesNo SatsumasNo Sauces (Plain Food)No SeafoodNo Seeds (inc. Multigrain Bread)No Semi-Skimmed MilkNo SesameNo ShellfishNo Smoked FishNo Smoked SalmonNo Sodium/SaltNo Sodium BenzoateNo SoyaNo SpeltNo SpicesNo Spicy/Hot FoodNo SpinachNo SprinklesNo SquidNo stoned fruitNo StrawberriesNo SugarNo sulphitesNo Sunflower SeedsNo SushiNo SwedeNo Sweet PotatoNo SweetsNo Tap Water (Bottled Only)No ToffeeNo TomatoNo Tree FruitNo TunaNo TurkeyNo VanillaNo VegetablesNo VinegarNo WalnutsNo watermelonNo Whey PowderNo White BreadNo White FishNo YeastNo YoghurtOnly Drinks WaterOnly Food From Home To Be EatenOrganic Foods OnlyOtherPEG Feeding TubePescatarianPhenylketonuria (PKU) DietPuréed FoodPWS Diet (Prader-Willi syndrome)RamadanRenal DietRequires drink thickenerRequires Pancreatic Enzyme Replacement (Creon) with foodSmall PortionsSoya Milk OnlySpecial DietSweetcorn allergyVegan (Vegetarian, No Egg/Dairy)VegetarianVegetarian (Eats Fish)Vitamin C IntoleranceVitamin K AllergyWeight-Reducing DietWheat FreeWhite Meat/Fish Only Add another dietary requirement Remove this dietary requirement PreviousNextWas the student eligible for free school meals in Year 11? *YesNoWe will ask you to provide details of your free school meals entitlement if you have not already done so. This may be emailed to [email protected] (with the full name of the student) or placed in a sealed envelope marked for the attention of the Admissions Manager and handed in to school reception. Was the student eligible for examination access arrangements in Year 11? *YesNoWe may ask you to provide details of your examinations access arrangements if you have not already done so. Hampshire Futures During the student's time at Bournemouth School, we may offer them advice from our careers service, Hampshire Futures. We require your consent to share limited data with this provider. Further details may be found on our website under Privacy notice for parents. Hampshire Futures *Yes, I agree to sharing of relevant data with Hampshire FuturesNo data may be provided to Hampshire FuturesPhotographs *I give permission for the school to use the student's image in appropriate ways and subject to the safeguards outlined by the schoolI do not give permission for the school to use the student's imageStudent's first language *EnglishOther (please specify)Other language *Young carer A young carer is someone under 18 who helps look after someone in their family, or a friend, who is ill, disabled or misuses drugs and/or alcohol. There are about 700,000 young carers in the UK; that's about one in 12 secondary-aged pupils. We would like to support the young carers in our community and would that you complete this question to facilitate this. Is the student a designated young carer? *YesNoEthnic information The information which you provide will be used to compile statistics on the school careers and achievements of children from different educational backgrounds, to help ensure that children from all backgrounds have the opportunity to fulfil their potential. The information will be passed on to any school to which the student may subsequently transfer. It will also be passed on to local and national statistics. Ethnic information *WBRI: White - BritishWIRI: White - IrishWIRT: Traveller of Irish heritageWOTH: Any other white backgroundWROM: Gypsy/RomaMWBC: Mixed - white and black CaribbeanMWBA: Mixed - white and black AfricanMWAS: Mixed - white and AsianMOTH: Any other mixed backgroundAIND: Asian/Asian British - IndianAPKN: Asian/Asian British - PakistaniABAN: Asian/Asian British - BangladeshiAOTH: Asian/Asian British - any Asian backgroundBCRB: Black/Black British - CaribbeanBAFR: Black/Black British - AfricanBOTH: Black/Black British - any other backgroundCHNE: ChineseOOTH: Any other ethnic backgroundREFU: I do not wish my child's ethnic group to be recorded in any waySpecial educational needs and/or disabilities (SEND) We are committed to making sure that school is a happy and successful experience for all of our students. Where a student has a particular difficult or need, we will do our best to put measures in place to overcome this. Is the student on the SEND register at their current school? *YesNoPlease provide details of any SEND needs identified above. *For example: communication and interaction; cognition and learning; social, emotional and mental health; and/or sensory or physical needs.Is the student in the process of receiving a SEND diagnosis? *YesNoPlease provide details of any SEND needs identified above. (copy) *For example: communication and interaction; cognition and learning; social, emotional and mental health; and/or sensory or physical needs.PreviousNextDoes the student have a sibling already at Bournemouth School? *YesNoName of sibling *Please identify the sibling's house *DarwinElgarMooreNewtonScottTurnerDoes the student wish to be in the same house as their sibling? *YesNoPlease note that, whilst we cannot guarantee house allocation, we will do our best to honour this request. PreviousNextPlease provide details and evidence of your GCSE results below. GCSE English Language grade *GCSE English Literature grade *GCSE Mathematics grade *GCSE Science studiedCombined ScienceSeparate SciencesGCSE Combined Science grade *GCSE Biology grade *GCSE Chemistry grade *GCSE Physics grade *Other GCSEs studiedArtBusiness StudiesComputingDanceDramaFrenchGeographyGermanGraphicsHistoryMusicPhysical EducationReligious StudiesSpanishTechnologyGCSE Art grade *GCSE Business Studies grade *GCSE Computing grade *GCSE Dance grade *GCSE Drama grade *GCSE French grade *GCSE Geography grade *GCSE German grade *GCSE Graphics grade *GCSE History grade *GCSE Music grade *GCSE Physical Education grade *GCSE Religious Studies grade *GCSE Spanish grade *GCSE Technology grade * Other qualifications SubjectGrade Upload evidence Please upload evidence of the qualifications you have listed. This can be in the form of scanned or photographed versions of results, but each file must be legible and must visibly include your name. Evidence of qualifications * Click or drag files to this area to upload. You can upload up to 10 files. PreviousNextData Protection Act Data protection legislation requires us to have a legal basis to collect and use personal data that we request. Details of the relevant privacy policy can be found on our website. School Systems We make use of a number of computer-based systems; we require your agreement to support your child in their time at Bournemouth School. We require your understand of and consent to the following. Please enter your full name to confirm that you agree to the Data Protection Act statement above. *I confirm that I have completed the admissions form accurately, to the best of my knowledge and ability. *PreviousSubmit