New Student – Enrolment Form Your name * Your email * Date of Birth * Address 1 * City * Post Code * Mobile * Health and additional needs - Please read carefully I do not have a disabilityI do not have a learning difficultyI require exam access arrangementsI have learning difficulties assessment (LDA)I have a Diagnostic Dyslexia ReportI have an SEN statement Health issue/disability Visual impairmentHearing impairmentDisability affecting mobilitySocial/Emotional/Behavioural difficultiesMental healthEpilepsyAsthmaDiabetesAllergy Additional Information (optional)